PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
CMS October 2026Physician Fee Schedule · Free lookup

CPT 97112 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 97112 is $32.73 in a non-facility setting ($32.73 in a facility), up 2.2% from $32.02 in 2025.

National rate, October 2026
Non-facility
$32.73
Facility
$32.73
vs. 2025
+2.2%
Commercial national avg.
$34.90

Filters

97112
20262025

Select one or more years

Up to 5 codes · 4 remaining

Showing
Physician Fee Schedule·97112·National·2026, 2025
Current non-facility rate
$32.73▲0.0%
Facility: $32.73
Recent trend
Code description

Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
9711210/2026N/A0000000$32.73$32.73Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971127/2026N/A0000000$32.73$32.73Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971124/2026N/A0000000$32.73$32.73Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971121/2026N/A0000000$32.73$32.73Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
9711210/2025N/A0000000$32.02$32.02Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971127/2025N/A0000000$32.02$32.02Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971124/2025N/A0000000$32.02$32.02Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.
971121/2025N/A0000000$32.02$32.02Muscle Or Nerve Training, A 15-Minute Session Of Therapist-Assisted Activities Designed To Reeducate The Nerves And Muscles In How To Work Together. Focus Is On Movement Balance Coordination Posture And Alignment For Sitting And Standing.

97112 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNon-facilityFacilityChange
October 2026$32.73$32.73+2.2%
October 2025$32.02$32.02-4.8%
March 2024$33.62$33.62-1.8%
January 2023$34.23$34.23-2.1%
July 2022$34.95$34.95-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

97112: Medicare vs. commercial national average

The commercial national average for 97112, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $34.90, 107% of Medicare's $32.73.

  • BCBS $39.65
  • UnitedHealthcare $34.21
  • Aetna $30.85
  • Cigna $34.90

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 97112 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

Nearby codes

PayerPrice Platform

Compare Medicare's rate for 97112 with published commercial rates

Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.

Medicaid comparison

See what state Medicaid programs pay for 97112

50 state Medicaid agencies publish their own physician fee schedule. The 97112 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.