$59.30–$90.10
Both evaluate exercise-related bronchospasm. Use 94617 when ECG recording is part of the test and 94619 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
94617 Exercise bronchospasm test Medicare reimbursement rates
Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion. Compare 94617 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 94617?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$82.79–$125.63
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $42.84 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 94617 pays more and less
109 payment localities
$82.79 to $125.63
Pulmonary testing
About 94617: Exercise bronchospasm test with ECG
Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion.
This test evaluates whether exertion provokes bronchospasm by comparing pulmonary function before and after exercise, with ECG recording during the test. It is commonly used when a patient reports wheezing, cough, chest tightness, or breathlessness during or after activity and the clinician needs objective evidence of exercise-related airflow changes. A pulmonologist, allergist, or other qualified clinician may supervise and interpret the test, with trained staff assisting in an office or facility setting.
Report 94617 when the exercise bronchospasm evaluation includes ECG recording; use the no-ECG sibling when ECG is not part of the test. Documentation should identify the exertional symptoms or diagnostic question, exercise performed, pulmonary function findings before and after exertion, ECG recording, and the clinician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service.
CMS billing rules for 94617
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.68 · 24%
- Practice expense (office) RVU2.07 · 74%
- Malpractice RVU0.04 · 1%
6K
Medicare services in 2024 · #1760 by national volume
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.
94617 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$33.72–$47.34
94618 is pulmonary stress testing, commonly used to assess exercise response such as oxygenation or exercise capacity; 94617 tests for exercise-provoked bronchospasm and includes ECG recording.
$147.77–$220.87
94621 is cardiopulmonary exercise testing for a broader assessment of exercise physiology. Use 94617 when the question is specifically whether exercise provokes bronchospasm.
See how rates vary across the country
94617 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$82.79
$112.61
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $108.44 | 1 |
| AL | $83.97 | 1 |
| AR | $82.79 | 1 |
| AZ | $90.85 | 1 |
| CA | $99.59–$125.63 | 29 |
| CO | $97.59 | 1 |
| CT | $99.25 | 1 |
| DC | $106.87 | 1 |
| DE | $92.34 | 1 |
| FL | $90.82–$98.07 | 3 |
| GA | $85.98–$94.63 | 2 |
| GU | $102.10 | 1 |
| HI | $102.10 | 1 |
| IA | $86.51 | 1 |
| ID | $86.95 | 1 |
| IL | $87.93–$96.25 | 4 |
| IN | $87.45 | 1 |
| KS | $85.89 | 1 |
| KY | $85.40 | 1 |
| LA | $85.18–$89.29 | 2 |
| MA | $96.95–$107.39 | 2 |
| MD | $94.14–$106.87 | 3 |
| ME | $87.15–$92.07 | 2 |
| MI | $87.35–$91.69 | 2 |
| MN | $94.25 | 1 |
| MO | $83.61–$89.87 | 3 |
| MS | $83.23 | 1 |
| MT | $93.19 | 1 |
| NC | $88.07 | 1 |
| ND | $92.39 | 1 |
| NE | $87.03 | 1 |
| NH | $95.86 | 1 |
| NJ | $100.59–$105.77 | 2 |
| NM | $87.72 | 1 |
| NV | $93.03 | 1 |
| NY | $89.33–$108.85 | 5 |
| OH | $87.18 | 1 |
| OK | $85.49 | 1 |
| OR | $92.52–$100.88 | 2 |
| PA | $87.45–$96.69 | 2 |
| PR | $93.93 | 1 |
| RI | $95.76 | 1 |
| SC | $87.73 | 1 |
| SD | $92.30 | 1 |
| TN | $86.28 | 1 |
| TX | $86.87–$97.09 | 8 |
| UT | $88.90 | 1 |
| VA | $91.62–$106.87 | 2 |
| VI | $93.93 | 1 |
| VT | $91.84 | 1 |
| WA | $96.83–$109.77 | 2 |
| WI | $89.36 | 1 |
| WV | $84.71 | 1 |
| WY | $92.84 | 1 |
Compare 94617 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $83.97 | Facility Unavailable |
| Alaska* | Office $108.44 | Facility Unavailable |
| Arizona | Office $90.85 | Facility Unavailable |
| Arkansas | Office $82.79 | Facility Unavailable |
| Atlanta | Office $94.63 | Facility Unavailable |
| Austin | Office $97.09 | Facility Unavailable |
| Bakersfield | Office $99.74 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $98.92 | Facility Unavailable |
| Beaumont | Office $86.87 | Facility Unavailable |
| Brazoria | Office $92.45 | Facility Unavailable |
| Chicago | Office $95.42 | Facility Unavailable |
| Chico | Office $99.59 | Facility Unavailable |
| Colorado | Office $97.59 | Facility Unavailable |
| Connecticut | Office $99.25 | Facility Unavailable |
| Dallas | Office $92.93 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $106.87 | Facility Unavailable |
| Delaware | Office $92.34 | Facility Unavailable |
| Detroit | Office $91.69 | Facility Unavailable |
| East St. Louis | Office $89.01 | Facility Unavailable |
| El Centro | Office $99.60 | Facility Unavailable |
| Fort Lauderdale | Office $95.17 | Facility Unavailable |
| Fort Worth | Office $92.25 | Facility Unavailable |
| Fresno | Office $99.59 | Facility Unavailable |
| Galveston | Office $92.66 | Facility Unavailable |
| Hanford-Corcoran | Office $99.59 | Facility Unavailable |
| Hawaii, Guam | Office $102.10 | Facility Unavailable |
| Houston | Office $93.39 | Facility Unavailable |
| Idaho | Office $86.95 | Facility Unavailable |
| Indiana | Office $87.45 | Facility Unavailable |
| Iowa | Office $86.51 | Facility Unavailable |
| Kansas | Office $85.89 | Facility Unavailable |
| Kentucky | Office $85.40 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $106.32 | Facility Unavailable |
| Madera | Office $99.59 | Facility Unavailable |
| Manhattan | Office $106.63 | Facility Unavailable |
| Merced | Office $99.59 | Facility Unavailable |
| Metropolitan Boston | Office $107.39 | Facility Unavailable |
| Metropolitan Kansas City | Office $88.94 | Facility Unavailable |
| Metropolitan Philadelphia | Office $96.69 | Facility Unavailable |
| Metropolitan St. Louis | Office $89.87 | Facility Unavailable |
| Miami | Office $98.07 | Facility Unavailable |
| Minnesota | Office $94.25 | Facility Unavailable |
| Mississippi | Office $83.23 | Facility Unavailable |
| Modesto | Office $99.59 | Facility Unavailable |
| Montana** | Office $93.19 | Facility Unavailable |
| Napa | Office $115.95 | Facility Unavailable |
| Nebraska | Office $87.03 | Facility Unavailable |
| Nevada** | Office $93.03 | Facility Unavailable |
| New Hampshire | Office $95.86 | Facility Unavailable |
| New Mexico | Office $87.72 | Facility Unavailable |
| New Orleans | Office $89.29 | Facility Unavailable |
| North Carolina | Office $88.07 | Facility Unavailable |
| North Dakota** | Office $92.39 | Facility Unavailable |
| Northern Nj | Office $105.77 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $108.85 | Facility Unavailable |
| Ohio | Office $87.18 | Facility Unavailable |
| Oklahoma | Office $85.49 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $105.90 | Facility Unavailable |
| Portland | Office $100.88 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $101.06 | Facility Unavailable |
| Puerto Rico | Office $93.93 | Facility Unavailable |
| Queens | Office $107.82 | Facility Unavailable |
| Redding | Office $99.59 | Facility Unavailable |
| Rest Of California | Office $99.59 | Facility Unavailable |
| Rest Of Florida | Office $90.82 | Facility Unavailable |
| Rest Of Georgia | Office $85.98 | Facility Unavailable |
| Rest Of Illinois | Office $87.93 | Facility Unavailable |
| Rest Of Louisiana | Office $85.18 | Facility Unavailable |
| Rest Of Maine | Office $87.15 | Facility Unavailable |
| Rest Of Maryland | Office $94.14 | Facility Unavailable |
| Rest Of Massachusetts | Office $96.95 | Facility Unavailable |
| Rest Of Michigan | Office $87.35 | Facility Unavailable |
| Rest Of Missouri | Office $83.61 | Facility Unavailable |
| Rest Of New Jersey | Office $100.59 | Facility Unavailable |
| Rest Of New York | Office $89.33 | Facility Unavailable |
| Rest Of Oregon | Office $92.52 | Facility Unavailable |
| Rest Of Pennsylvania | Office $87.45 | Facility Unavailable |
| Rest Of Texas | Office $89.53 | Facility Unavailable |
| Rest Of Washington | Office $96.83 | Facility Unavailable |
| Rhode Island | Office $95.76 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $100.04 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $104.66 | Facility Unavailable |
| Salinas | Office $104.27 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $106.81 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $122.97 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $122.93 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $125.63 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $125.44 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $102.57 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $107.91 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $104.68 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $109.01 | Facility Unavailable |
| Seattle (King Cnty) | Office $109.77 | Facility Unavailable |
| South Carolina | Office $87.73 | Facility Unavailable |
| South Dakota** | Office $92.30 | Facility Unavailable |
| Southern Maine | Office $92.07 | Facility Unavailable |
| Stockton | Office $99.59 | Facility Unavailable |
| Suburban Chicago | Office $96.25 | Facility Unavailable |
| Tennessee | Office $86.28 | Facility Unavailable |
| Utah | Office $88.90 | Facility Unavailable |
| Vallejo | Office $115.88 | Facility Unavailable |
| Vermont | Office $91.84 | Facility Unavailable |
| Virgin Islands | Office $93.93 | Facility Unavailable |
| Virginia | Office $91.62 | Facility Unavailable |
| Visalia | Office $99.59 | Facility Unavailable |
| West Virginia | Office $84.71 | Facility Unavailable |
| Wisconsin | Office $89.36 | Facility Unavailable |
| Wyoming** | Office $92.84 | Facility Unavailable |
| Yuba City | Office $99.59 | Facility Unavailable |
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94617 billing questions
When should 94617 be chosen over 94619?
Choose 94617 when the exercise bronchospasm test includes ECG recording. Code 94619 is the corresponding option when the test is performed without ECG.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Is ECG recording included in this test?
ECG recording is part of the distinction between 94617 and its no-ECG sibling, 94619. The documentation should support that ECG was included in the exercise evaluation.
What documentation supports reporting 94617?
Document the reason for evaluating exertional symptoms, the exercise performed, pulmonary function results before and after exercise, ECG recording, and the interpreting clinician’s findings.
How does 94617 differ from pulmonary stress testing?
94617 evaluates exercise-provoked bronchospasm and includes ECG recording. Code 94618 is used for pulmonary stress testing focused on exercise response rather than this bronchospasm test.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,39594453,26,Hast w/suppl oxygen titrj,A,,0.39,0.16,,0.16,,0.02,0.57,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39694453,TC,Hast w/suppl oxygen titrj,A,,0.00,1.68,,1.68,NA,0.02,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,39794610,,Intrapulm surfactant admn,A,,1.13,0.23,NA,0.23,,0.07,1.43,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39894617,,Exercise tst brncspsm w/ecg,A,,0.68,2.07,,2.07,NA,0.04,2.79,2.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39994617,26,Exercise tst brncspsm w/ecg,A,,0.68,0.25,,0.25,,0.01,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,40094617,TC,Exercise tst brncspsm w/ecg,A,,0.00,1.82,,1.82,NA,0.03,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,40194618,,Pulmonary stress testing,A,,0.47,0.61,,0.61,NA,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00