FeeBase
Log inGet started
Menu

CPT code 95971: Neurostimulator programming, simple spinal/peripheral nerve2026 Medicare rate & RVUs in King County, WA

Report this service when an implanted spinal cord or peripheral nerve neurostimulator is analyzed and its settings receive simple programming adjustments.

CMS RVU26DEffective Oct 1, 2026One payment locality18.2K Medicare services in 2024

In King County, WA, Medicare pays $56.31 for 95971 in the office and $36.64 when it’s performed in a hospital or facility.

$56.31Office (non-facility)
$36.64Hospital or facility
+11.6%vs the national office rate ($50.44)

Check a contract rate as a % of Medicare · 95971 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95971 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 95971 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95971 covers

Code 95971 describes analysis and simple programming of an implanted neurostimulator used for spinal cord or peripheral nerve stimulation. A clinician managing the device uses a programmer to review its operation and make simple setting adjustments. Common settings include pain-management clinics and follow-up visits for patients with implanted spinal cord stimulators for chronic pain or peripheral nerve stimulators.

Choose this code when the device stimulates the spinal cord or a peripheral nerve and programming is performed. Use 95970 when the device is analyzed without programming, and 95972 when programming is complex. Documentation should identify the device and stimulation site, the findings reviewed, the settings changed, and the patient's response. Do not report a no-change device check as programming. The CMS fee schedule assigns work, practice-expense, and malpractice values, with different practice-expense values for 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 King County, WA compares for 95971

Across 109 of 109 payment localities, the office rate for 95971 runs from $46.19 in Arkansas to $63.84 in Alaska. King County, WA pays $56.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

95971 in King County, WA vs other payment areas
  1. King County, WA · this page$56.31
  2. Rest of Washington · Washington$51.38−$4.93
  3. Los Angeles, CA · California$54.75−$1.56
  4. Washington, DC area · District of Columbia$56.03−$0.28
  5. Miami, FL · Florida$54.91−$1.40
  6. Chicago, IL · Illinois$53.76−$2.55
  7. Manhattan, NY · New York$57.04+$0.73

Other areas in Washington first, then benchmark localities. Bars start at $0.

Every other payment area

95971 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$63.84$46.77
AlabamaAlabama$46.67$32.64
ArkansasArkansas$46.19$32.42
ArizonaArizona$49.42$33.88
Bakersfield, CACalifornia$52.13$34.56
Chico, CACalifornia$51.91$34.34
El Centro, CACalifornia$51.92$34.35
Fresno, CACalifornia$51.91$34.34

95971 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$46.19

$63.84

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95971 office rate range by state
State / territoryOffice rate rangeLocalities
AK$63.841
AL$46.671
AR$46.191
AZ$49.421
CA$51.91–$61.9629
CO$51.651
CT$53.141
DC$56.031
DE$50.061
FL$50.64–$54.913
GA$48.50–$51.342
GU$52.471
HI$52.471
IA$47.151
ID$47.441
IL$49.83–$53.764
IN$47.621
KS$47.161
KY$47.791
LA$47.80–$49.452
MA$51.55–$55.522
MD$50.77–$56.033
ME$47.79–$49.372
MI$48.82–$51.272
MN$49.431
MO$47.33–$49.383
MS$46.761
MT$50.431
NC$48.111
ND$49.051
NE$47.281
NH$51.051
NJ$53.73–$55.762
NM$49.081
NV$50.071
NY$48.64–$58.275
OH$48.541
OK$47.561
OR$49.65–$52.702
PA$48.50–$52.262
PR$50.641
RI$51.411
SC$48.411
SD$48.881
TN$47.351
TX$48.29–$51.508
UT$48.871
VA$49.37–$56.032
VI$50.641
VT$49.061
WA$51.38–$56.312
WI$47.891
WV$48.561
WY$49.831

See 95971 in every payment locality

How the 95971 rate is calculated

Each of 95971’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 · 95971

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense0.66

0.66 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.5100

Conversion factor

$33.4009

Medicare rate

$50.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,726

Code
95971
Physician work
0.78
Practice expense
0.66
Malpractice
0.07

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 95971 in King County, WA
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0500.8190
Practice expense0.66× 1.2270.8098
Malpractice0.07× 0.8170.0572
Total RVUs1.6860
Conversion factor× 33.4009

Office rate, King County, WA$56.31

Office: (0.78 × 1.05 + 0.66 × 1.227 + 0.07 × 0.817) × $33.4009 = $56.31

Facility: (0.78 × 1.05 + 0.18 × 1.227 + 0.07 × 0.817) × $33.4009 = $36.64

Open 95971 in the RVU calculator

Payment rules and modifiers for 95971

95971 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 · 95971

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$50.44

Non-facility (office)
$50.44
Facility
$34.40

Higher because the practice carries its own overhead.

Codes related to 95971

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95971
CodeHow it relatesOffice range, King County, WA
Same family
95970Neurostimulator analysis, without programmingDevice analysis without programming, contrasted with simple programming in 95971.$21.70
95972Stimulator programming, complex spinal or peripheral nerveComplex programming for spinal cord or peripheral nerve neurostimulators.$67.67
Used instead
95976Stimulator programming, cranial nerve, simpleSimple programming for an implanted cranial nerve neurostimulator rather than a spinal or peripheral nerve device.$41.70
95977Stimulator programming, cranial nerve, complexComplex programming for an implanted cranial nerve neurostimulator.$55.58

How 95971 has changed in King County, WA

95971 · Office / nonfacility

$56.31

Effective 2026-10-01

The base rate is $5.06 higher than on 2025-10-01, moving from $51.25 to $56.31 (9.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $51.25changed to$56.31

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.59 changed to 0.66
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $53.03changed to$51.25

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $52.16changed to$53.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.71changed to$52.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.57 changed to 0.59
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $54.08changed to$52.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.58 changed to 0.57
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.40changed to$54.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.59 changed to 0.58
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $55.98changed to$54.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.58 changed to 0.59
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $55.59changed to$55.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.59 changed to 0.58
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $55.94changed to$55.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.60 changed to 0.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $54.47changed to$55.94

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.58 changed to 0.60
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $53.44changed to$54.47

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.57 changed to 0.58
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $62.17changed to$53.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.78 changed to 0.57
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $61.86changed to$62.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $65.38changed to$61.86

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.85 changed to 0.78
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $65.11changed to$65.38

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.92 changed to 0.85
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $65.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$56.31$36.64RVU26D
2026-07-01$56.31$36.64RVU26C
2026-04-01$56.31$36.64RVU26B
2026-01-01$56.31$36.64RVU26A
2025-10-01$51.25$40.20RVU25D
2025-07-01$51.25$40.20RVU25C
2025-04-01$51.25$40.20RVU25B
2025-01-01$51.25$40.20RVU25A
2024-10-01$53.03$41.25RVU24D
2024-07-01$53.03$41.25RVU24C
2024-04-01$53.03$41.25RVU24B
2024-03-09$53.03$41.25RVU24AR
2024-01-01$52.16$40.58RVU24A
2023-10-01$52.71$41.67RVU23D
2023-07-01$52.71$41.67RVU23C
2023-04-01$52.71$41.67RVU23B
2023-01-01$52.71$41.67RVU23A
2022-10-01$54.08$42.92RVU22D
2022-07-01$54.08$42.92RVU22C
2022-04-01$54.08$42.92RVU22B
2022-01-01$54.08$42.92RVU22A
2021-10-01$54.40$43.15RVU21D
2021-07-01$54.40$43.15RVU21C
2021-04-01$54.40$43.15RVU21B
2021-01-01$54.40$43.15RVU21A
2020-10-01$55.98$44.58RVU20D
2020-07-01$55.98$44.58RVU20C
2020-04-01$55.98$44.58RVU20B
2020-01-01$55.98$44.58RVU20A
2019-10-01$55.59$44.43RVU19D
2019-07-01$55.59$44.43RVU19C
2019-04-01$55.59$44.43RVU19B
2019-01-01$55.59$44.43RVU19A
2018-10-01$55.94$44.39RVU18D
2018-07-01$55.94$44.39RVU18C
2018-04-01$55.94$44.39RVU18B
2018-01-01$55.94$44.39RVU18AR1
2017-10-01$54.47$43.32RVU17D
2017-07-01$54.47$43.32RVU17C
2017-04-01$54.47$43.32RVU17B
2017-01-01$54.47$43.32RVU17A
2016-10-01$53.44$42.69RVU16D
2016-07-01$53.44$42.69RVU16C
2016-04-01$53.44$42.69RVU16B
2016-01-01$53.44$42.69RVU16A
2015-10-01$62.17$42.66RVU15D
2015-07-01$62.17$42.66RVU15C
2015-04-01$61.86$42.45RVU15B
2015-01-01$61.86$42.45RVU15A
2014-10-01$65.38$43.14RVU14D
2014-07-01$65.38$43.14RVU14C
2014-04-01$65.38$43.14RVU14B
2014-01-01$65.38$43.14RVU14A
2013-10-01$65.11$41.75RVU13D
2013-07-01$65.11$41.75RVU13C
2013-04-01$65.11$41.75RVU13B
2013-01-01$65.11$41.75RVU13AR

Price 95971 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 95971 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

95971 billing questions

When should 95971 be used instead of 95970?

Use 95971 when simple programming adjustments are made to an implanted spinal cord or peripheral nerve neurostimulator. Use 95970 for device analysis without programming.

How is 95971 distinguished from 95972?

Both apply to spinal cord or peripheral nerve neurostimulators, but 95971 represents simple programming and 95972 represents complex programming. The record should support the level of programming performed.

Can 95970 be reported for the analysis during a 95971 service?

95971 includes analysis with programming. Do not separately report 95970 for the same device analysis performed as part of that programming service.

What documentation supports 95971?

Document the implanted device and stimulation site, the pre-adjustment assessment, the settings changed, and the patient's response. The note should support that programming was performed and was simple.

Does 95971 apply to an implanted vagus nerve stimulator?

No. For cranial nerve neurostimulator programming, the simple-programming code is 95976; 95971 is for spinal cord or peripheral nerve stimulation.

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
RVUs for 95971PPRRVU2026_Oct_nonQPP.csv, line 12,726 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 95971 pays in King County, WA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 95971 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist