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Code Reality Check

97110 reimbursement rate: Therapeutic exercise, 15 minutes

Therapeutic exercise, 15 minutes (CPT 97110) pays a median $75.00 in California and $20.38 in Oklahoma, against a Medicare anchor of $33.51. 51 of 51 states clear the publication floor.

spread 3.7x top to bottom Medicare anchor $33.51 51/51 states published

The 50-state spread

as of 2026-07-15
StateMedianvs MedicareBandRate pointsTier
California$75.002.24x$32–$82 · P90 $155225,315Benchmark
New York$73.472.19x$25–$75 · P90 $77343,626Benchmark
North Dakota$65.701.96x$31–$105 · P90 $1163,922Benchmark
Wisconsin$65.231.95x$25–$114 · P90 $14754,325Benchmark
Nebraska$57.951.73x$29–$74 · P90 $769,530Benchmark
Oregon$51.271.53x$27–$74 · P90 $8811,412Benchmark
Colorado$48.131.44x$30–$70 · P90 $8520,414Benchmark
Montana$46.771.40x$30–$91 · P90 $9802,447Benchmark
Massachusetts$45.091.35x$24–$87 · P90 $9432,913Benchmark
Utah$43.561.30x$32–$52 · P90 $6911,778Benchmark
Wyoming$42.501.27x$30–$65 · P90 $921,210Benchmark
South Dakota$39.531.18x$26–$88 · P90 $1165,532Benchmark
West Virginia$38.681.15x$26–$64 · P90 $856,005Benchmark
Mississippi$37.851.13x$30–$43 · P90 $537,078Benchmark
New Mexico$33.681.01x$31–$40 · P90 $753,882Benchmark
Washington$33.531.00x$28–$65 · P90 $8518,343Benchmark
New Jersey$32.440.97x$20–$70 · P90 $7532,781Benchmark
Iowa$32.390.97x$19–$55 · P90 $1128,909Benchmark
Connecticut$32.140.96x$30–$75 · P90 $7814,824Benchmark
Maine$32.060.96x$29–$47 · P90 $6314,252Benchmark
Georgia$31.310.93x$24–$53 · P90 $6592,076Benchmark
Hawaii$30.970.92x$23–$75 · P90 $751,102Benchmark
Arkansas$29.420.88x$26–$45 · P90 $537,094Benchmark
Illinois$29.400.88x$24–$52 · P90 $7543,527Benchmark
Louisiana$28.940.86x$28–$44 · P90 $598,929Benchmark
Alaska$28.500.85x$23–$69 · P90 $85538Benchmark
Idaho$28.450.85x$24–$55 · P90 $751,334Benchmark
Alabama$28.440.85x$28–$31 · P90 $438,447Benchmark
District of Columbia$27.730.83x$23–$75 · P90 $772,906Benchmark
Rhode Island$27.670.83x$26–$31 · P90 $5811,118Benchmark
North Carolina$27.030.81x$23–$29 · P90 $72132,944Benchmark
Minnesota$26.880.80x$27–$61 · P90 $10525,813Benchmark
Missouri$26.330.79x$16–$53 · P90 $7158,371Benchmark
South Carolina$26.020.78x$21–$47 · P90 $7319,071Benchmark
Vermont$25.910.77x$25–$54 · P90 $752,038Benchmark
Tennessee$25.880.77x$19–$51 · P90 $8519,010Benchmark
Nevada$25.860.77x$26–$41 · P90 $754,967Benchmark
New Hampshire$25.670.77x$26–$33 · P90 $7410,726Benchmark
Pennsylvania$25.320.76x$20–$52 · P90 $7140,342Benchmark
Kansas$24.980.75x$21–$28 · P90 $516,800Benchmark
Indiana$23.550.70x$21–$29 · P90 $4171,947Benchmark
Ohio$23.510.70x$17–$42 · P90 $9098,556Benchmark
Florida$23.500.70x$18–$45 · P90 $7547,448Benchmark
Michigan$23.400.70x$22–$33 · P90 $6425,628Benchmark
Maryland$23.270.69x$22–$45 · P90 $7816,033Benchmark
Virginia$23.190.69x$20–$41 · P90 $6130,747Benchmark
Kentucky$22.380.67x$19–$31 · P90 $4826,127Benchmark
Arizona$22.340.67x$18–$45 · P90 $8513,386Benchmark
Texas$21.900.65x$19–$38 · P90 $6762,062Benchmark
Delaware$21.700.65x$19–$51 · P90 $752,113Benchmark
Oklahoma$20.380.61x$20–$37 · P90 $545,303Benchmark
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

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Cite this page

Source: Reddenda Code Reality Check, CPT 97110. Reddenda. https://reddenda.health/code/97110/
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Derivation federally mandated TiC MRFs, verified to provider identity1,725,001 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0
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