CPT code 97813: Acupuncture, with electrical stimulation2026 Medicare rate & RVUs in Suburban Chicago, IL

In Suburban Chicago, IL, Medicare pays $58.72 for 97813 in the office and $35.05 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 97813 nationwide

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

What 97813 covers

A physician or other qualified practitioner performs acupuncture by inserting needles at one or more points and applying electrical stimulation through the needles. The service is used in outpatient care, including treatment sessions for pain, in office or facility settings. The timed service requires direct, one-on-one contact with the patient; the code identifies the initial interval of that treatment.

Report 97813 once for the initial 15-minute interval when electrical stimulation is used. For additional qualifying intervals of acupuncture with electrical stimulation, report 97814. Choose the code based on the technique performed, not simply the patient’s diagnosis or the number of needles. Documentation should identify the acupuncture treatment, use of electrical stimulation, and duration of direct contact. CMS PFS valuation includes work, practice expense, and malpractice inputs; the practice-expense input differs 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 Suburban Chicago, IL compares for 97813

Across 109 of 109 payment localities, the office rate for 97813 runs from $51.40 in Arkansas to $71.68 in San Benito County, CA. Suburban Chicago, IL pays $58.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

97813 rates by state

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

See 97813 in every payment locality

How the 97813 rate is calculated

Each of 97813’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.

Payment rules and modifiers for 97813

97813 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.

Codes related to 97813

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

How 97813 has changed in Suburban Chicago, IL

Price 97813 for an earlier date of service

Where the Suburban Chicago, IL rate applies

Suburban Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 178 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

• 97813 in Chicago · multiple payment areas
• Addison
• 97813 in Algonquin · multiple payment areas
• Andres
• Antioch
• Arbury Hills
• 97813 in Aurora · multiple payment areas
• Bannockburn

Browse all communities in Illinois

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

Open CMS sourceHow we calculate rates