CPT code 95970: Neurostimulator analysis, without programming2026 Medicare rate & RVUs in Utah
Reports electronic assessment of an implanted spinal cord or peripheral nerve stimulator when the device is checked without changing its programmed settings.
In Utah, Medicare pays $19.18 for 95970 in the office and $15.73 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95970 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95970 covers
CPT 95970 captures electronic interrogation of an implanted neurostimulator pulse generator for a spinal cord or peripheral nerve system when the visit assesses device operation without changing its programmed settings. The clinician reviews available device information, such as operating status, stored diagnostics, or battery status, and evaluates system function. This service commonly occurs during follow-up for patients with implanted spinal cord stimulation for chronic pain or peripheral nerve stimulation, in pain medicine, neurology, or neurosurgery settings. It concerns the implanted generator system, rather than EEG or intraoperative neurophysiologic monitoring.
Report the code when documentation supports device analysis without programming. Identify the implanted system and its site, describe the analysis performed and findings, and distinguish interrogation from parameter changes. If stimulation parameters are adjusted, choose the applicable with-programming code based on device type and service complexity. CMS valuation includes physician work, practice expense, and malpractice; practice-expense values differ between office and facility settings.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Utah compares for 95970
Across 109 of 109 payment localities, the office rate for 95970 runs from $18.23 in Arkansas to $25.56 in Alaska. Utah pays $19.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$19.18
- Los Angeles, CA · California$21.13+$1.95
- Washington, DC area · District of Columbia$21.70+$2.52
- Miami, FL · Florida$21.53+$2.35
- Chicago, IL · Illinois$21.12+$1.94
- Manhattan, NY · New York$22.18+$3.00
- Alaska · Alaska$25.56+$6.38
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $18.39 | $15.18 |
| ArkansasArkansas | $18.23 | $15.08 |
| ArizonaArizona | $19.34 | $15.78 |
| Bakersfield, CACalifornia | $20.21 | $16.18 |
| Chico, CACalifornia | $20.11 | $16.09 |
| El Centro, CACalifornia | $20.12 | $16.09 |
| Fresno, CACalifornia | $20.11 | $16.09 |
| Hanford, CACalifornia | $20.11 | $16.09 |
| Madera, CACalifornia | $20.11 | $16.09 |
| Merced, CACalifornia | $20.11 | $16.09 |
| Modesto, CACalifornia | $20.11 | $16.09 |
| Napa, CACalifornia | $22.18 | $17.34 |
| Oxnard, CACalifornia | $20.93 | $16.59 |
| Redding, CACalifornia | $20.11 | $16.09 |
| Rest of CaliforniaCalifornia | $20.11 | $16.09 |
| Riverside, CACalifornia | $20.44 | $16.42 |
| Sacramento, CACalifornia | $20.81 | $16.53 |
| Salinas, CACalifornia | $20.72 | $16.46 |
| San Diego, CACalifornia | $20.97 | $16.58 |
| Marin County, CACalifornia | $23.15 | $17.97 |
| San Francisco, CACalifornia | $23.12 | $17.94 |
| San Benito County, CACalifornia | $23.63 | $18.33 |
| Santa Clara County, CACalifornia | $23.49 | $18.19 |
| San Luis Obispo, CACalifornia | $20.42 | $16.23 |
| Santa Cruz, CACalifornia | $21.00 | $16.53 |
| Santa Maria, CACalifornia | $20.73 | $16.45 |
| Santa Rosa, CACalifornia | $21.19 | $16.68 |
| Stockton, CACalifornia | $20.11 | $16.09 |
| Vallejo, CACalifornia | $22.13 | $17.29 |
| Visalia, CACalifornia | $20.11 | $16.09 |
| Yuba City, CACalifornia | $20.11 | $16.09 |
| ColoradoColorado | $20.08 | $16.17 |
| ConnecticutConnecticut | $20.69 | $16.73 |
| DelawareDelaware | $19.58 | $15.95 |
| Fort Lauderdale, FLFlorida | $20.61 | $16.89 |
| Rest of FloridaFlorida | $19.90 | $16.39 |
| Atlanta, GAGeorgia | $20.06 | $16.32 |
| Rest of GeorgiaGeorgia | $19.14 | $15.86 |
| Hawaii, Guam, HIHawaii | $20.25 | $16.07 |
| IowaIowa | $18.51 | $15.14 |
| IdahoIdaho | $18.62 | $15.24 |
| East St. Louis, ILIllinois | $20.16 | $16.78 |
| Rest of IllinoisIllinois | $19.66 | $16.31 |
| Suburban Chicago, ILIllinois | $20.75 | $16.98 |
| IndianaIndiana | $18.68 | $15.27 |
| KansasKansas | $18.54 | $15.21 |
| KentuckyKentucky | $18.84 | $15.58 |
| New Orleans, LALouisiana | $19.43 | $15.97 |
| Rest of LouisianaLouisiana | $18.86 | $15.61 |
| Metropolitan Boston, MAMassachusetts | $21.44 | $17.05 |
| Rest of MassachusettsMassachusetts | $20.06 | $16.19 |
| Baltimore area, MDMaryland | $20.64 | $16.70 |
| Rest of MarylandMaryland | $19.83 | $16.11 |
| Rest of MaineMaine | $18.77 | $15.39 |
| Southern Maine, MEMaine | $19.27 | $15.63 |
| Detroit, MIMichigan | $20.15 | $16.60 |
| Rest of MichiganMichigan | $19.23 | $15.87 |
| MinnesotaMinnesota | $19.20 | $15.42 |
| Metropolitan Kansas City, MOMissouri | $19.26 | $15.81 |
| Metropolitan St. Louis, MOMissouri | $19.37 | $15.87 |
| Rest of MissouriMissouri | $18.71 | $15.55 |
| MississippiMississippi | $18.47 | $15.31 |
| MontanaMontana | $19.70 | $16.03 |
| North CarolinaNorth Carolina | $18.87 | $15.45 |
| North DakotaNorth Dakota | $19.11 | $15.44 |
| NebraskaNebraska | $18.54 | $15.15 |
| New HampshireNew Hampshire | $19.87 | $16.04 |
| Northern New JerseyNew Jersey | $21.63 | $17.37 |
| Rest of New JerseyNew Jersey | $20.92 | $16.90 |
| New MexicoNew Mexico | $19.33 | $15.96 |
| NevadaNevada | $19.55 | $15.87 |
| NYC suburbs and Long Island, NYNew York | $22.64 | $18.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $21.11 | $17.09 |
| Queens, NYNew York | $22.17 | $17.83 |
| Rest of New YorkNew York | $19.06 | $15.57 |
| OhioOhio | $19.10 | $15.75 |
| OklahomaOklahoma | $18.73 | $15.45 |
| Portland, OROregon | $20.42 | $16.33 |
| Rest of OregonOregon | $19.38 | $15.72 |
| Metropolitan Philadelphia, PAPennsylvania | $20.40 | $16.57 |
| Rest of PennsylvaniaPennsylvania | $19.08 | $15.70 |
| Puerto RicoPuerto Rico | $19.77 | $16.05 |
| Rhode IslandRhode Island | $20.05 | $16.26 |
| South CarolinaSouth Carolina | $19.02 | $15.63 |
| South DakotaSouth Dakota | $19.04 | $15.37 |
| TennesseeTennessee | $18.60 | $15.26 |
| Austin, TXTexas | $20.02 | $16.14 |
| Beaumont, TXTexas | $19.00 | $15.66 |
| Brazoria, TXTexas | $19.52 | $15.88 |
| Dallas, TXTexas | $19.64 | $15.98 |
| Fort Worth, TXTexas | $19.58 | $15.96 |
| Galveston, TXTexas | $19.58 | $15.93 |
| Houston, TXTexas | $20.13 | $16.48 |
| Rest of TexasTexas | $19.25 | $15.76 |
| VirginiaVirginia | $19.29 | $15.68 |
| Virgin Islands, VIUnited States Virgin Islands | $19.77 | $16.05 |
| VermontVermont | $19.14 | $15.50 |
| Rest of WashingtonWashington | $19.99 | $16.12 |
| King County, WAWashington | $21.70 | $17.19 |
| WisconsinWisconsin | $18.72 | $15.20 |
| West VirginiaWest Virginia | $19.22 | $16.03 |
| WyomingWyoming | $19.45 | $15.77 |
95970 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$18.23
$25.56
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $25.56 | 1 |
| AL | $18.39 | 1 |
| AR | $18.23 | 1 |
| AZ | $19.34 | 1 |
| CA | $20.11–$23.63 | 29 |
| CO | $20.08 | 1 |
| CT | $20.69 | 1 |
| DC | $21.70 | 1 |
| DE | $19.58 | 1 |
| FL | $19.90–$21.53 | 3 |
| GA | $19.14–$20.06 | 2 |
| GU | $20.25 | 1 |
| HI | $20.25 | 1 |
| IA | $18.51 | 1 |
| ID | $18.62 | 1 |
| IL | $19.66–$21.12 | 4 |
| IN | $18.68 | 1 |
| KS | $18.54 | 1 |
| KY | $18.84 | 1 |
| LA | $18.86–$19.43 | 2 |
| MA | $20.06–$21.44 | 2 |
| MD | $19.83–$21.70 | 3 |
| ME | $18.77–$19.27 | 2 |
| MI | $19.23–$20.15 | 2 |
| MN | $19.20 | 1 |
| MO | $18.71–$19.37 | 3 |
| MS | $18.47 | 1 |
| MT | $19.70 | 1 |
| NC | $18.87 | 1 |
| ND | $19.11 | 1 |
| NE | $18.54 | 1 |
| NH | $19.87 | 1 |
| NJ | $20.92–$21.63 | 2 |
| NM | $19.33 | 1 |
| NV | $19.55 | 1 |
| NY | $19.06–$22.64 | 5 |
| OH | $19.10 | 1 |
| OK | $18.73 | 1 |
| OR | $19.38–$20.42 | 2 |
| PA | $19.08–$20.40 | 2 |
| PR | $19.77 | 1 |
| RI | $20.05 | 1 |
| SC | $19.02 | 1 |
| SD | $19.04 | 1 |
| TN | $18.60 | 1 |
| TX | $19.00–$20.13 | 8 |
| UT | $19.18 | 1 |
| VA | $19.29–$21.70 | 2 |
| VI | $19.77 | 1 |
| VT | $19.14 | 1 |
| WA | $19.99–$21.70 | 2 |
| WI | $18.72 | 1 |
| WV | $19.22 | 1 |
| WY | $19.45 | 1 |
How the 95970 rate is calculated
Each of 95970’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95970
RVUs × geographic indexes × conversion factor
Work0.35
0.35 RVUs× 1.000 GPCI
Practice expense0.21
0.21 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.5900
Conversion factor
$33.4009
Medicare rate
$19.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,725
- Code
- 95970
- Physician work
- 0.35
- Practice expense
- 0.21
- Malpractice
- 0.03
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.000 | 0.3500 |
| Practice expense | 0.21 | × 0.940 | 0.1974 |
| Malpractice | 0.03 | × 0.898 | 0.0269 |
| Total RVUs | 0.5743 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$19.18
Office: (0.35 × 1 + 0.21 × 0.94 + 0.03 × 0.898) × $33.4009 = $19.18
Facility: (0.35 × 1 + 0.1 × 0.94 + 0.03 × 0.898) × $33.4009 = $15.73
Payment rules and modifiers for 95970
95970 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95970
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$19.71
- Non-facility (office)
- $19.71
- Facility
- $16.03
Higher because the practice carries its own overhead.
How 95970 has changed in Utah
95970 · Office / nonfacility
$19.18
Effective 2026-10-01
The base rate is $1.52 higher than on 2025-10-01, moving from $17.66 to $19.18 (8.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$17.66changed to$19.18
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.18 changed to 0.21
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$18.17changed to$17.66
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$17.87changed to$18.17
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$18.37changed to$17.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.17 changed to 0.18
- Malpractice RVU 0.04 changed to 0.03
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$18.62changed to$18.37
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$18.78changed to$18.62
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$19.36changed to$18.78
- Conversion factor 36.0896 changed to 34.8931
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$19.22changed to$19.36
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.16 changed to 0.17
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$67.27changed to$19.22
- Conversion factor 35.9996 changed to 36.0391
- Work RVU 0.45 changed to 0.35
- Practice expense RVU 1.48 changed to 0.16
- Malpractice RVU 0.04 changed to 0.03
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$65.63changed to$67.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.44 changed to 1.48
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$64.99changed to$65.63
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.43 changed to 1.44
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$64.23changed to$64.99
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.40 changed to 1.43
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$63.91changed to$64.23
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$65.15changed to$63.91
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.44 changed to 1.40
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$67.30changed to$65.15
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.62 changed to 1.44
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $67.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $19.18 | $15.73 | RVU26D |
| 2026-07-01 | $19.18 | $15.73 | RVU26C |
| 2026-04-01 | $19.18 | $15.73 | RVU26B |
| 2026-01-01 | $19.18 | $15.73 | RVU26A |
| 2025-10-01 | $17.66 | $17.35 | RVU25D |
| 2025-07-01 | $17.66 | $17.35 | RVU25C |
| 2025-04-01 | $17.66 | $17.35 | RVU25B |
| 2025-01-01 | $17.66 | $17.35 | RVU25A |
| 2024-10-01 | $18.17 | $17.55 | RVU24D |
| 2024-07-01 | $18.17 | $17.55 | RVU24C |
| 2024-04-01 | $18.17 | $17.55 | RVU24B |
| 2024-03-09 | $18.17 | $17.55 | RVU24AR |
| 2024-01-01 | $17.87 | $17.26 | RVU24A |
| 2023-10-01 | $18.37 | $18.05 | RVU23D |
| 2023-07-01 | $18.37 | $18.05 | RVU23C |
| 2023-04-01 | $18.37 | $18.05 | RVU23B |
| 2023-01-01 | $18.37 | $18.05 | RVU23A |
| 2022-10-01 | $18.62 | $18.31 | RVU22D |
| 2022-07-01 | $18.62 | $18.31 | RVU22C |
| 2022-04-01 | $18.62 | $18.31 | RVU22B |
| 2022-01-01 | $18.62 | $18.31 | RVU22A |
| 2021-10-01 | $18.78 | $18.46 | RVU21D |
| 2021-07-01 | $18.78 | $18.46 | RVU21C |
| 2021-04-01 | $18.78 | $18.46 | RVU21B |
| 2021-01-01 | $18.78 | $18.46 | RVU21A |
| 2020-10-01 | $19.36 | $19.02 | RVU20D |
| 2020-07-01 | $19.36 | $19.02 | RVU20C |
| 2020-04-01 | $19.36 | $19.02 | RVU20B |
| 2020-01-01 | $19.36 | $19.02 | RVU20A |
| 2019-10-01 | $19.22 | $18.88 | RVU19D |
| 2019-07-01 | $19.22 | $18.88 | RVU19C |
| 2019-04-01 | $19.22 | $18.88 | RVU19B |
| 2019-01-01 | $19.22 | $18.88 | RVU19A |
| 2018-10-01 | $67.27 | $24.55 | RVU18D |
| 2018-07-01 | $67.27 | $24.55 | RVU18C |
| 2018-04-01 | $67.27 | $24.55 | RVU18B |
| 2018-01-01 | $67.27 | $24.55 | RVU18AR1 |
| 2017-10-01 | $65.63 | $24.46 | RVU17D |
| 2017-07-01 | $65.63 | $24.46 | RVU17C |
| 2017-04-01 | $65.63 | $24.46 | RVU17B |
| 2017-01-01 | $65.63 | $24.46 | RVU17A |
| 2016-10-01 | $64.99 | $24.06 | RVU16D |
| 2016-07-01 | $64.99 | $24.06 | RVU16C |
| 2016-04-01 | $64.99 | $24.06 | RVU16B |
| 2016-01-01 | $64.99 | $24.06 | RVU16A |
| 2015-10-01 | $64.23 | $24.15 | RVU15D |
| 2015-07-01 | $64.23 | $24.15 | RVU15C |
| 2015-04-01 | $63.91 | $24.03 | RVU15B |
| 2015-01-01 | $63.91 | $24.03 | RVU15A |
| 2014-10-01 | $65.15 | $24.33 | RVU14D |
| 2014-07-01 | $65.15 | $24.33 | RVU14C |
| 2014-04-01 | $65.15 | $24.33 | RVU14B |
| 2014-01-01 | $65.15 | $24.33 | RVU14A |
| 2013-10-01 | $67.30 | $23.35 | RVU13D |
| 2013-07-01 | $67.30 | $23.35 | RVU13C |
| 2013-04-01 | $67.30 | $23.35 | RVU13B |
| 2013-01-01 | $67.30 | $23.35 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
95970 billing questions
How does 95970 differ from 95971 or 95972?
95970 describes analysis without programming. Codes 95971 and 95972 describe programming for spinal cord or peripheral nerve systems, at simple and complex levels, respectively.
Does this code include changing stimulation settings?
No. It represents analysis without changing programmed settings; report the applicable with-programming code when parameters are adjusted.
Is 95970 used for cranial nerve or brain stimulators?
This code is for spinal cord or peripheral nerve systems. Cranial nerve systems have codes 95976 and 95977, while brain neurostimulator programming is represented by 95983 and 95984.
What documentation supports reporting 95970?
Document the implanted system and site, the electronic analysis performed, the findings, and that programmed settings were not changed.
Is 95970 reported in timed increments?
The service is not described in timed increments. Documentation should support the device analysis performed, rather than elapsed minutes.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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