$33.94–$46.80
Use 97802 for an initial one-to-one nutrition therapy service. Use 97804 when two or more patients receive counseling together.
On this page
CMS RVU26D · Effective 2026-10-01
97804 Group nutrition therapy Medicare reimbursement rates
Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session. Compare 97804 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 97804?
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
$15.70–$21.60
109 of 109 localities have a 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 97804 pays more and less
109 payment localities
$15.70 to $21.60
Medical nutrition therapy
About 97804: Group medical nutrition therapy
Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session.
This service covers nutrition counseling delivered to two or more patients together by a registered dietitian or other qualified nutrition professional. The session may address topics such as meal planning, nutrition-related health goals, and strategies for managing a condition through diet. It is distinct from a one-to-one nutrition assessment or follow-up, even when the subject matter is similar.
Report the service in 30-minute units for each patient who participates in the group session. Documentation should support the session duration, group format, nutrition topics addressed, and each patient’s attendance and participation. Choose the individual nutrition therapy codes when the professional provides one-to-one care rather than a shared session. Under the Medicare Physician Fee Schedule, this code has work, practice expense, and malpractice RVUs; the practice expense RVU differs between office and facility settings.
Where the value comes from
- Work RVU0.25 · 49%
- Practice expense (office) RVU0.25 · 49%
- Malpractice RVU0.01 · 2%
2.6K
Medicare services in 2024 · #2261 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.
97804 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$29.26–$40.46
Use 97803 for subsequent individual nutrition therapy. A shared group session is reported with 97804 instead.
$15.70–$21.60
G0271 describes group nutrition therapy for qualifying additional services following a change in condition, diagnosis, or treatment regimen; 97804 is the general group service code.
See how rates vary across the country
97804 · 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.
$15.70
$21.60
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 | $21.60 | 1 |
| AL | $15.85 | 1 |
| AR | $15.70 | 1 |
| AZ | $16.73 | 1 |
| CA | $17.82–$21.49 | 29 |
| CO | $17.60 | 1 |
| CT | $17.91 | 1 |
| DC | $19.01 | 1 |
| DE | $16.94 | 1 |
| FL | $16.84–$17.89 | 3 |
| GA | $16.20–$17.26 | 2 |
| GU | $18.04 | 1 |
| HI | $18.04 | 1 |
| IA | $16.12 | 1 |
| ID | $16.19 | 1 |
| IL | $16.50–$17.58 | 4 |
| IN | $16.25 | 1 |
| KS | $16.07 | 1 |
| KY | $16.08 | 1 |
| LA | $16.06–$16.59 | 2 |
| MA | $17.54–$18.96 | 2 |
| MD | $17.19–$19.01 | 3 |
| ME | $16.24–$16.84 | 2 |
| MI | $16.35–$16.97 | 2 |
| MN | $17.04 | 1 |
| MO | $15.87–$16.63 | 3 |
| MS | $15.79 | 1 |
| MT | $17.03 | 1 |
| NC | $16.35 | 1 |
| ND | $16.84 | 1 |
| NE | $16.18 | 1 |
| NH | $17.34 | 1 |
| NJ | $18.17–$18.92 | 2 |
| NM | $16.41 | 1 |
| NV | $16.99 | 1 |
| NY | $16.52–$19.43 | 5 |
| OH | $16.31 | 1 |
| OK | $16.07 | 1 |
| OR | $16.90–$18.01 | 2 |
| PA | $16.33–$17.59 | 2 |
| PR | $17.12 | 1 |
| RI | $17.43 | 1 |
| SC | $16.35 | 1 |
| SD | $16.81 | 1 |
| TN | $16.12 | 1 |
| TX | $16.26–$17.50 | 8 |
| UT | $16.50 | 1 |
| VA | $16.79–$19.01 | 2 |
| VI | $17.12 | 1 |
| VT | $16.79 | 1 |
| WA | $17.51–$19.29 | 2 |
| WI | $16.45 | 1 |
| WV | $16.08 | 1 |
| WY | $16.95 | 1 |
Compare 97804 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 $15.85 | Facility $11.75 |
| Alaska* | Office $21.60 | Facility $16.62 |
| Arizona | Office $16.73 | Facility $12.20 |
| Arkansas | Office $15.70 | Facility $11.68 |
| Atlanta | Office $17.26 | Facility $12.51 |
| Austin | Office $17.50 | Facility $12.55 |
| Bakersfield | Office $17.86 | Facility $12.74 |
| Baltimore/Surr. Cntys | Office $17.86 | Facility $12.84 |
| Beaumont | Office $16.26 | Facility $12.00 |
| Brazoria | Office $16.95 | Facility $12.32 |
| Chicago | Office $17.57 | Facility $12.87 |
| Chico | Office $17.82 | Facility $12.70 |
| Colorado | Office $17.60 | Facility $12.62 |
| Connecticut | Office $17.91 | Facility $12.88 |
| Dallas | Office $17.03 | Facility $12.37 |
| Dc + Md/Va Suburbs | Office $19.01 | Facility $13.50 |
| Delaware | Office $16.94 | Facility $12.32 |
| Detroit | Office $16.97 | Facility $12.46 |
| East St. Louis | Office $16.71 | Facility $12.40 |
| El Centro | Office $17.82 | Facility $12.70 |
| Fort Lauderdale | Office $17.41 | Facility $12.68 |
| Fort Worth | Office $16.95 | Facility $12.34 |
| Fresno | Office $17.82 | Facility $12.70 |
| Galveston | Office $16.99 | Facility $12.34 |
| Hanford-Corcoran | Office $17.82 | Facility $12.70 |
| Hawaii, Guam | Office $18.04 | Facility $12.72 |
| Houston | Office $17.17 | Facility $12.53 |
| Idaho | Office $16.19 | Facility $11.89 |
| Indiana | Office $16.25 | Facility $11.92 |
| Iowa | Office $16.12 | Facility $11.84 |
| Kansas | Office $16.07 | Facility $11.84 |
| Kentucky | Office $16.08 | Facility $11.92 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $18.79 | Facility $13.26 |
| Madera | Office $17.82 | Facility $12.70 |
| Manhattan | Office $19.12 | Facility $13.68 |
| Merced | Office $17.82 | Facility $12.70 |
| Metropolitan Boston | Office $18.96 | Facility $13.38 |
| Metropolitan Kansas City | Office $16.52 | Facility $12.13 |
| Metropolitan Philadelphia | Office $17.59 | Facility $12.72 |
| Metropolitan St. Louis | Office $16.63 | Facility $12.18 |
| Miami | Office $17.89 | Facility $13.02 |
| Minnesota | Office $17.04 | Facility $12.23 |
| Mississippi | Office $15.79 | Facility $11.76 |
| Modesto | Office $17.82 | Facility $12.70 |
| Montana** | Office $17.03 | Facility $12.36 |
| Napa | Office $20.05 | Facility $13.89 |
| Nebraska | Office $16.18 | Facility $11.87 |
| Nevada** | Office $16.99 | Facility $12.31 |
| New Hampshire | Office $17.34 | Facility $12.47 |
| New Mexico | Office $16.41 | Facility $12.12 |
| New Orleans | Office $16.59 | Facility $12.19 |
| North Carolina | Office $16.35 | Facility $11.99 |
| North Dakota** | Office $16.84 | Facility $12.16 |
| Northern Nj | Office $18.92 | Facility $13.49 |
| Nyc Suburbs/Long Island | Office $19.43 | Facility $13.87 |
| Ohio | Office $16.31 | Facility $12.04 |
| Oklahoma | Office $16.07 | Facility $11.89 |
| Oxnard-Thousand Oaks-Ventura | Office $18.66 | Facility $13.13 |
| Portland | Office $18.01 | Facility $12.81 |
| Poughkpsie/N Nyc Suburbs | Office $18.27 | Facility $13.15 |
| Puerto Rico | Office $17.12 | Facility $12.39 |
| Queens | Office $19.24 | Facility $13.71 |
| Redding | Office $17.82 | Facility $12.70 |
| Rest Of California | Office $17.82 | Facility $12.70 |
| Rest Of Florida | Office $16.84 | Facility $12.36 |
| Rest Of Georgia | Office $16.20 | Facility $12.03 |
| Rest Of Illinois | Office $16.50 | Facility $12.23 |
| Rest Of Louisiana | Office $16.06 | Facility $11.92 |
| Rest Of Maine | Office $16.24 | Facility $11.94 |
| Rest Of Maryland | Office $17.19 | Facility $12.46 |
| Rest Of Massachusetts | Office $17.54 | Facility $12.62 |
| Rest Of Michigan | Office $16.35 | Facility $12.08 |
| Rest Of Missouri | Office $15.87 | Facility $11.84 |
| Rest Of New Jersey | Office $18.17 | Facility $13.06 |
| Rest Of New York | Office $16.52 | Facility $12.08 |
| Rest Of Oregon | Office $16.90 | Facility $12.24 |
| Rest Of Pennsylvania | Office $16.33 | Facility $12.04 |
| Rest Of Texas | Office $16.58 | Facility $12.14 |
| Rest Of Washington | Office $17.51 | Facility $12.58 |
| Rhode Island | Office $17.43 | Facility $12.60 |
| Riverside-San Bernardino-Ontario | Office $17.94 | Facility $12.81 |
| Sacramento-Roseville-Folsom | Office $18.54 | Facility $13.10 |
| Salinas | Office $18.47 | Facility $13.05 |
| San Diego-Chula Vista-Carlsbad | Office $18.77 | Facility $13.18 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $21.07 | Facility $14.48 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $21.06 | Facility $14.47 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $21.49 | Facility $14.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $21.44 | Facility $14.70 |
| San Luis Obispo-Paso Robles | Office $18.18 | Facility $12.86 |
| Santa Cruz-Watsonville | Office $18.85 | Facility $13.17 |
| Santa Maria-Santa Barbara | Office $18.50 | Facility $13.05 |
| Santa Rosa-Petaluma | Office $19.03 | Facility $13.29 |
| Seattle (King Cnty) | Office $19.29 | Facility $13.55 |
| South Carolina | Office $16.35 | Facility $12.03 |
| South Dakota** | Office $16.81 | Facility $12.14 |
| Southern Maine | Office $16.84 | Facility $12.20 |
| Stockton | Office $17.82 | Facility $12.70 |
| Suburban Chicago | Office $17.58 | Facility $12.77 |
| Tennessee | Office $16.12 | Facility $11.87 |
| Utah | Office $16.50 | Facility $12.10 |
| Vallejo | Office $20.04 | Facility $13.87 |
| Vermont | Office $16.79 | Facility $12.16 |
| Virgin Islands | Office $17.12 | Facility $12.39 |
| Virginia | Office $16.79 | Facility $12.20 |
| Visalia | Office $17.82 | Facility $12.70 |
| West Virginia | Office $16.08 | Facility $12.02 |
| Wisconsin | Office $16.45 | Facility $11.97 |
| Wyoming** | Office $16.95 | Facility $12.27 |
| Yuba City | Office $17.82 | Facility $12.70 |
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97804 billing questions
How does 97804 differ from 97802 or 97803?
97804 is for nutrition therapy provided in a group of two or more patients. Use 97802 for an initial individual service and 97803 for a subsequent individual service.
How many patients are needed for a group session?
The service is group therapy for two or more patients. A one-to-one session belongs under an individual nutrition therapy code.
How should units be reported?
The service is measured in 30-minute units for each participating patient. Document the session duration and each patient’s attendance.
What documentation supports 97804?
Record the group format, date and duration, nutrition topics or counseling provided, and the individual patient’s participation.
Can a modifier turn an individual session into group therapy?
No. The code selection follows how the service was delivered: shared counseling for multiple patients versus one-to-one nutrition therapy.
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.
12,91297799,,Unlisted physcl med/rehab px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91397802,,Medical nutrition indiv in,A,,0.53,0.56,,0.25,,0.01,1.10,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91597804,,Medical nutrition group,A,,0.25,0.25,,0.11,,0.01,0.51,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91697810,,Acup 1/> wo estim 1st 15 min,A,,0.61,0.79,,0.17,,0.04,1.44,0.82,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91797811,,Acup 1/> w/o estim ea add 15,A,,0.46,0.36,,0.13,,0.03,0.85,0.62,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91897813,,Acup 1/> w/estim 1st 15 min,A,,0.74,0.90,,0.21,,0.05,1.69,1.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00