CPT code 97150: Group therapy, two or more patients, per session2026 Medicare rate & RVUs in South Dakota

Therapeutic procedures delivered to two or more patients at the same time are reported once per patient for each skilled group therapy session.

CMS RVU26DEffective Oct 1, 2026One payment locality2.7M Medicare services in 2024

In South Dakota, Medicare pays $17.81 for 97150 in the office.

$17.81Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($18.04)

Check a contract rate as a % of Medicare · 97150 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 97150 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 97150 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 97150 covers

This code covers skilled therapy delivered to two or more patients simultaneously, with the treating clinician in constant attendance rather than providing continuous one-on-one care. Patients may work on the same or different activities, such as skilled exercise after joint replacement, aquatic exercise, balance training, or an occupational therapy fine motor group. Physical therapists, occupational therapists, and, for appropriate services, speech-language pathologists or assistants working under required supervision provide it in private practices, outpatient clinics, and skilled nursing or rehabilitation settings billing Part B.

The code is untimed. Report one unit per patient per group session regardless of session length, with the GP, GO, or GN modifier matching the plan of care. Documentation should identify the session time, group activities, each patient's participation and response, the skilled interventions, and the connection to plan-of-care goals. Bill this therapy service without a professional-component modifier 26 split. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units billed for the patient that day.

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.

Billing guides for 97150: Physical therapy CPT codes

How South Dakota compares for 97150

Across 109 of 109 payment localities, the office rate for 97150 runs from $16.74 in Arkansas to $23.25 in Alaska. South Dakota pays $17.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

97150 in South Dakota vs other payment areas
  1. South Dakota · this page$17.81
  2. Los Angeles, CA · California$19.79+$1.98
  3. Washington, DC area · District of Columbia$20.02+$2.21
  4. Miami, FL · Florida$18.88+$1.07
  5. Chicago, IL · Illinois$18.58+$0.77
  6. Manhattan, NY · New York$20.15+$2.34
  7. Alaska · Alaska$23.25+$5.44

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

Every other payment area

97150 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$16.89—
ArkansasArkansas$16.74—
ArizonaArizona$17.74—
Bakersfield, CACalifornia$18.86—
Chico, CACalifornia$18.82—
El Centro, CACalifornia$18.82—
Fresno, CACalifornia$18.82—
Hanford, CACalifornia$18.82—

97150 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.

$16.74

$23.25

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

View every state and territory as a table
97150 office rate range by state
State / territoryOffice rate rangeLocalities
AK$23.251
AL$16.891
AR$16.741
AZ$17.741
CA$18.82–$22.4929
CO$18.591
CT$18.921
DC$20.021
DE$17.951
FL$17.85–$18.883
GA$17.23–$18.262
GU$18.991
HI$18.991
IA$17.151
ID$17.221
IL$17.53–$18.584
IN$17.281
KS$17.101
KY$17.121
LA$17.10–$17.612
MA$18.55–$19.952
MD$18.20–$20.023
ME$17.27–$17.842
MI$17.38–$17.992
MN$18.031
MO$16.92–$17.653
MS$16.841
MT$18.041
NC$17.381
ND$17.841
NE$17.211
NH$18.321
NJ$19.19–$19.952
NM$17.441
NV$17.991
NY$17.54–$20.465
OH$17.341
OK$17.101
OR$17.91–$19.002
PA$17.36–$18.602
PR$18.121
RI$18.451
SC$17.381
SD$17.811
TN$17.151
TX$17.29–$18.488
UT$17.521
VA$17.80–$20.022
VI$18.121
VT$17.791
WA$18.51–$20.282
WI$17.471
WV$17.131
WY$17.951

See 97150 in every payment locality

How the 97150 rate is calculated

Each of 97150’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 · 97150

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.29

0.29 RVUs× 1.000 GPCI

Practice expense0.24

0.24 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5400

Conversion factor

$33.4009

Medicare rate

$18.04

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,868

Code
97150
Physician work
0.29
Practice expense
0.24
Malpractice
0.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 97150 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense0.24× 1.0000.2400
Malpractice0.01× 0.3360.0034
Total RVUs0.5334
Conversion factor× 33.4009

Office rate, South Dakota$17.81

Office: (0.29 × 1 + 0.24 × 1 + 0.01 × 0.336) × $33.4009 = $17.81

Open 97150 in the RVU calculator

Payment rules and modifiers for 97150

The CMS indicators that decide how 97150 is paid alongside other services.

CMS payment indicators · 97150

Group therapy, two or more patients, per session

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

97150 without CQ · national office

$18.04

Group therapy, two or more patients, per session

97150-CQ · Allowed amount unchanged

$18.04

Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.

How 97150 has changed in South Dakota

97150 · Office / nonfacility

$17.81

Effective 2026-10-01

The base rate is $0.54 higher than on 2025-10-01, moving from $17.27 to $17.81 (3.1%).

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

    $17.27changed to$17.81

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.77changed to$17.27

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.48changed to$17.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.74changed to$17.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.23 changed to 0.24
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $17.77changed to$17.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.92changed to$17.77

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $18.54changed to$17.92

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $18.52changed to$18.54

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $18.50changed to$18.52

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $17.37changed to$18.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.19 changed to 0.22
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $17.33changed to$17.37

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.39changed to$17.33

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $17.31changed to$17.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $17.34changed to$17.31

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $17.16changed to$17.34

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.21 changed to 0.19
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $17.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.81Not available in this settingRVU26D
2026-07-01$17.81Not available in this settingRVU26C
2026-04-01$17.81Not available in this settingRVU26B
2026-01-01$17.81Not available in this settingRVU26A
2025-10-01$17.27Not available in this settingRVU25D
2025-07-01$17.27Not available in this settingRVU25C
2025-04-01$17.27Not available in this settingRVU25B
2025-01-01$17.27Not available in this settingRVU25A
2024-10-01$17.77Not available in this settingRVU24D
2024-07-01$17.77Not available in this settingRVU24C
2024-04-01$17.77Not available in this settingRVU24B
2024-03-09$17.77Not available in this settingRVU24AR
2024-01-01$17.48Not available in this settingRVU24A
2023-10-01$17.74Not available in this settingRVU23D
2023-07-01$17.74Not available in this settingRVU23C
2023-04-01$17.74Not available in this settingRVU23B
2023-01-01$17.74Not available in this settingRVU23A
2022-10-01$17.77Not available in this settingRVU22D
2022-07-01$17.77Not available in this settingRVU22C
2022-04-01$17.77Not available in this settingRVU22B
2022-01-01$17.77Not available in this settingRVU22A
2021-10-01$17.92Not available in this settingRVU21D
2021-07-01$17.92Not available in this settingRVU21C
2021-04-01$17.92Not available in this settingRVU21B
2021-01-01$17.92Not available in this settingRVU21A
2020-10-01$18.54Not available in this settingRVU20D
2020-07-01$18.54Not available in this settingRVU20C
2020-04-01$18.54Not available in this settingRVU20B
2020-01-01$18.54Not available in this settingRVU20A
2019-10-01$18.52Not available in this settingRVU19D
2019-07-01$18.52Not available in this settingRVU19C
2019-04-01$18.52Not available in this settingRVU19B
2019-01-01$18.52Not available in this settingRVU19A
2018-10-01$18.50Not available in this settingRVU18D
2018-07-01$18.50Not available in this settingRVU18C
2018-04-01$18.50Not available in this settingRVU18B
2018-01-01$18.50Not available in this settingRVU18AR1
2017-10-01$17.37Not available in this settingRVU17D
2017-07-01$17.37Not available in this settingRVU17C
2017-04-01$17.37Not available in this settingRVU17B
2017-01-01$17.37Not available in this settingRVU17A
2016-10-01$17.33Not available in this settingRVU16D
2016-07-01$17.33Not available in this settingRVU16C
2016-04-01$17.33Not available in this settingRVU16B
2016-01-01$17.33Not available in this settingRVU16A
2015-10-01$17.39Not available in this settingRVU15D
2015-07-01$17.39Not available in this settingRVU15C
2015-04-01$17.31Not available in this settingRVU15B
2015-01-01$17.31Not available in this settingRVU15A
2014-10-01$17.34Not available in this settingRVU14D
2014-07-01$17.34Not available in this settingRVU14C
2014-04-01$17.34Not available in this settingRVU14B
2014-01-01$17.34Not available in this settingRVU14A
2013-10-01$17.16Not available in this settingRVU13D
2013-07-01$17.16Not available in this settingRVU13C
2013-04-01$17.16Not available in this settingRVU13B
2013-01-01$17.16Not available in this settingRVU13AR

Price 97150 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

97150 billing questions

How many units of 97150 can be billed for one session?

Report one unit per patient per group session. A longer session does not increase units, and group-session minutes are not added to timed codes for the 8-minute rule calculation.

Can 97150 be billed on the same day as individual codes such as 97110 or 97530?

Yes, when the one-on-one service occurs during a distinct time interval. Document separate times; use modifier 59 or an appropriate X modifier only when an applicable NCCI edit permits separate reporting and its criteria are met.

Do all patients in the group need to do the same activity?

No. Patients can perform different activities while the clinician treats two or more patients at once and remains in constant attendance.

Which modifiers are used with 97150?

Medicare requires GP for physical therapy, GO for occupational therapy, or GN for speech-language pathology, according to the plan of care. Add CQ for physical therapist assistant services or CO for occupational therapy assistant services when Medicare's assistant-modifier criteria are met.

Does the therapy multiple procedure payment reduction affect 97150?

Yes. Practice expense is reduced for the second and later therapy units billed for the patient on the same day, which can include the group unit.

Should speech therapy groups use 97150 or 92508?

Group treatment of speech, language, voice, or communication disorders is typically reported with 92508. Use 97150 for other qualifying group therapeutic procedures.

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 97150PPRRVU2026_Oct_nonQPP.csv, line 12,868 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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