CPT 97535

Self-Care/Home Mgmt Training Each 15 Minutes

CPT 97535 pays $32.40 in a non-facility setting and $32.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.84 in Arkansas to $40.87 in Alaska, a 37% spread.

National non-facility rate

$32.40

Office and other outpatient settings

Facility rate
$32.40

Hospital and ASC settings

Highest state
$40.87

Alaska

Lowest state
$29.84

Arkansas · 37% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $32.40
CPT 97535 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $32.40, national facility $32.40.
StateRate compared visuallyNon-facilityFacility
Alaska
$40.87$40.87
District of Columbia
$36.28$36.28
California
$35.91$35.91
New Jersey
$35.35$35.35
New York
$35.20$35.20
Washington
$35.19$35.19
Massachusetts
$34.88$34.88
Hawaii
$34.59$34.59
Connecticut
$34.08$34.08
Colorado
$33.60$33.60
Maryland
$33.34$33.34
Oregon
$33.34$33.34
Rhode Island
$33.21$33.21
New Hampshire
$33.06$33.06
Florida
$32.77$32.77
Minnesota
$32.66$32.66
Puerto Rico
$32.58$32.58
Virgin Islands
$32.58$32.58
Montana
$32.40$32.40
Nevada
$32.36$32.36
Wyoming
$32.31$32.31
Delaware
$32.24$32.24
Pennsylvania
$32.21$32.21
North Dakota
$32.20$32.20
Texas
$32.19$32.19
Illinois
$32.18$32.18
South Dakota
$32.18$32.18
Vermont
$32.06$32.06
Virginia
$32.01$32.01
Arizona
$31.82$31.82
Georgia
$31.70$31.70
Maine
$31.52$31.52
Michigan
$31.50$31.50
Wisconsin
$31.45$31.45
Utah
$31.34$31.34
North Carolina
$31.14$31.14
New Mexico
$31.05$31.05
South Carolina
$31.05$31.05
Missouri
$30.99$30.99
Indiana
$30.98$30.98
Louisiana
$30.93$30.93
Ohio
$30.92$30.92
Nebraska
$30.88$30.88
Idaho
$30.86$30.86
Iowa
$30.75$30.75
Tennessee
$30.69$30.69
Kansas
$30.60$30.60
Oklahoma
$30.50$30.50
Kentucky
$30.48$30.48
West Virginia
$30.31$30.31
Alabama
$30.12$30.12
Mississippi
$29.94$29.94
Arkansas
$29.84$29.84

Billed by 1 specialties

Commercial rates for 97535

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates