Medicare rate for CPT 97140 in 2026
Medicare’s national 2026 allowed amount for CPT 97140 is $27.72 in a physician’s office, from the CMS 2026 October release. That is the doctor’s fee for the service when it is performed in a physician’s office. CMS marks the facility setting as not applicable for this code, so there is no separate hospital rate. The figure is a national amount before geographic adjustment. What a specific provider is actually paid depends on the Medicare locality they practice in.
Manual therapy, each 15 minutes
Code name above: S2Reason’s own label. CMS’s CPT descriptor is AMA-licensed text and is not shown · Status A: Active, payable · Source: CMS 2026 October (RVU26D, non-QP conversion factor), effective 10/2026.
Billed the same day as chiropractic manipulation, it is payable only for a different body region, which the bill should show with a modifier.
What CPT 97140 means
Hands-on treatment by a therapist or chiropractor, such as joint mobilization, soft-tissue work or manual traction, billed for each 15 minutes.
How the $27.72 is built
Work RVU 0.43, practice-expense RVU 0.39 in an office, malpractice RVU 0.01. Each is multiplied by its geographic index, added together, then multiplied by the 2026 conversion factor of $33.4009. With every index at 1.000 that gives $27.72 in an office.
CMS marks the facility (hospital) setting as Not Applicable for 97140, so there is no separate hospital rate.
This is the allowed amount for one unit, before the 2% sequestration reduction and before any multiple-procedure reduction. It is what Medicare allows, not what a commercial carrier or an auto policy allows, and not what the provider billed. Current Procedural Terminology (CPT) is copyright 2019–2025 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association.
What CPT 97140 pays in New Jersey
New Jersey has 2 Medicare localities, so there is no single New Jersey rate. In an office the allowed amount runs from $29.53 to $30.73, a spread of 4.1% across the state.
| Locality | Office |
|---|---|
| Northern NJ | $30.73 |
| Rest Of New Jersey | $29.53 |
CPT 97140 by fee-schedule year, 2023 to 2026
A bill is priced under the schedule in force on its date of service, not the one in force when it is reviewed. Note that 2024 has two entries: Congress changed the conversion factor on 9 March 2024, so a January 2024 date of service and a June 2024 date of service price differently.
| Fee-schedule year | Conversion factor | Office |
|---|---|---|
| 2026 | $33.4009 | $27.72 |
| 2025 | $32.3465 | $27.17 |
| 2024 (Mar 9 to Dec 31) | $33.2875 | $26.96 |
| 2024 (Jan 1 to Mar 8) | $32.7442 | $26.52 |
| 2023 | $33.8872 | $27.45 |
National amounts, every geographic index at 1.000, so the year-to-year movement here is the fee schedule changing and not a change of location.
CPT 97140 in every state
The office allowed amount in each state, highest locality to lowest. Where a state shows one figure it has a single Medicare locality.
| State | Highest | Lowest | Localities |
|---|---|---|---|
| Alaska | $35.60 | - | 1 |
| California | $34.91 | $29.06 | 29 |
| New York | $31.39 | $26.97 | 5 |
| Washington | $31.34 | $28.52 | 2 |
| District of Columbia | $30.85 | - | 1 |
| Massachusetts | $30.80 | $28.58 | 2 |
| New Jersey | $30.73 | $29.53 | 2 |
| Hawaii / Guam | $29.37 | - | 1 |
| Oregon | $29.31 | $27.57 | 2 |
| Connecticut | $29.08 | - | 1 |
| Maryland | $28.98 | $28.00 | 2 |
| Florida | $28.77 | $27.32 | 3 |
| Colorado | $28.66 | - | 1 |
| Pennsylvania | $28.58 | $26.64 | 2 |
| Texas | $28.47 | $26.53 | 8 |
| Illinois | $28.43 | $26.78 | 4 |
| Rhode Island | $28.39 | - | 1 |
| New Hampshire | $28.22 | - | 1 |
| Georgia | $28.04 | $26.38 | 2 |
| Minnesota | $27.87 | - | 1 |
| Puerto Rico | $27.86 | - | 1 |
| Virgin Islands | $27.86 | - | 1 |
| Montana | $27.72 | - | 1 |
| Nevada | $27.68 | - | 1 |
| Wyoming | $27.64 | - | 1 |
| Delaware | $27.60 | - | 1 |
| North Dakota | $27.52 | - | 1 |
| Michigan | $27.50 | $26.63 | 2 |
| South Dakota | $27.50 | - | 1 |
| Maine | $27.48 | $26.55 | 2 |
| Vermont | $27.43 | - | 1 |
| Virginia | $27.40 | - | 1 |
| Arizona | $27.27 | - | 1 |
| Missouri | $27.10 | $25.92 | 3 |
| Louisiana | $27.00 | $26.21 | 2 |
| Wisconsin | $26.94 | - | 1 |
| Utah | $26.91 | - | 1 |
| North Carolina | $26.73 | - | 1 |
| New Mexico | $26.71 | - | 1 |
| South Carolina | $26.68 | - | 1 |
| Indiana | $26.60 | - | 1 |
| Ohio | $26.59 | - | 1 |
| Nebraska | $26.51 | - | 1 |
| Idaho | $26.50 | - | 1 |
| Iowa | $26.41 | - | 1 |
| Tennessee | $26.38 | - | 1 |
| Kansas | $26.31 | - | 1 |
| Kentucky | $26.25 | - | 1 |
| Oklahoma | $26.25 | - | 1 |
| West Virginia | $26.16 | - | 1 |
| Alabama | $25.95 | - | 1 |
| Mississippi | $25.82 | - | 1 |
| Arkansas | $25.72 | - | 1 |
Checking a different code, state or year
The Medicare rate lookup prices all 17,000-plus codes in the Physician Fee Schedule for any state and any fee-schedule year from 2023 to 2026. Ambulance codes are priced separately on the ambulance fee schedule, because Medicare does not pay for ambulance transport under this schedule at all.
Other physical therapy codes
Other codes with a rate page
- CPT 99213 Established patient office visit, low complexity
- CPT 99214 Established patient office visit, moderate complexity
- CPT 99204 New patient office visit, moderate complexity
- CPT 99284 Emergency department visit, moderate complexity
- CPT 72148 MRI, lumbar spine, without contrast
- CPT 72141 MRI, cervical spine, without contrast
Medicare rates are a benchmark, not an allowance. What a no-fault, workers’ compensation or commercial carrier owes for CPT 97140 is set by the fee schedule or policy that governs the claim, which is frequently a multiple of the figure above.
One code is one line of a bill.
Desk prices a whole case against the schedule that actually governs the claim, with every line cited to the document it came from. Fair Measure Billing Experts prepares and signs the report when you need someone else to write it.