CPT 97763

Orthotics/Prosth Mgmt &/Traing Sbsq Enctr 15 Min

CPT 97763 pays $50.10 in a non-facility setting and $50.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.18 in Arkansas to $60.16 in Alaska, a 33% spread.

National non-facility rate

$50.10

Office and other outpatient settings

Facility rate
$50.10

Hospital and ASC settings

Highest state
$60.16

Alaska

Lowest state
$45.18

Arkansas · 33% 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 $50.10
CPT 97763 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $50.10, national facility $50.10.
StateRate compared visuallyNon-facilityFacility
Alaska
$60.16$60.16
District of Columbia
$57.01$57.01
California
$56.71$56.71
Washington
$55.26$55.26
New Jersey
$55.21$55.21
New York
$54.88$54.88
Massachusetts
$54.67$54.67
Hawaii
$54.58$54.58
Connecticut
$53.09$53.09
Colorado
$52.38$52.38
Oregon
$51.94$51.94
Maryland
$51.77$51.77
Rhode Island
$51.48$51.48
New Hampshire
$51.44$51.44
Minnesota
$50.84$50.84
Florida
$50.53$50.53
Puerto Rico
$50.47$50.47
Virgin Islands
$50.47$50.47
Montana
$50.10$50.10
Nevada
$50.08$50.08
Wyoming
$50.01$50.01
North Dakota
$49.90$49.90
South Dakota
$49.88$49.88
Delaware
$49.74$49.74
Texas
$49.64$49.64
Vermont
$49.60$49.60
Pennsylvania
$49.58$49.58
Virginia
$49.43$49.43
Illinois
$49.32$49.32
Arizona
$49.01$49.01
Georgia
$48.64$48.64
Maine
$48.48$48.48
Wisconsin
$48.45$48.45
Michigan
$48.18$48.18
Utah
$48.04$48.04
North Carolina
$47.72$47.72
South Carolina
$47.49$47.49
Indiana
$47.47$47.47
New Mexico
$47.37$47.37
Missouri
$47.32$47.32
Nebraska
$47.30$47.30
Idaho
$47.23$47.23
Louisiana
$47.18$47.18
Ohio
$47.17$47.17
Iowa
$47.03$47.03
Tennessee
$46.88$46.88
Kansas
$46.70$46.70
Oklahoma
$46.42$46.42
Kentucky
$46.33$46.33
West Virginia
$45.83$45.83
Alabama
$45.74$45.74
Mississippi
$45.33$45.33
Arkansas
$45.18$45.18

Billed by 1 specialties

Commercial rates for 97763

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

See negotiated rates