CPT 97035 Physical Therapy/Rehab
App mdlty 1+ultrasound ea 15 Cost
Body System: Musculoskeletal
Medicare Facility Rate
$14
CMS PFS CY2026
Medicare Non-Facility Rate
$14
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.21
Work RVU
0.21
Facility PE RVU
0.01
Malpractice RVU
0.43
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $18 | $24 — $37 |
| AL — ALABAMA | $13 | $17 — $27 |
| AR — ARKANSAS | $13 | $17 — $27 |
| AZ — ARIZONA | $14 | $18 — $28 |
| CA — BAKERSFIELD | $15 | $20 — $30 |
| CA — CHICO | $15 | $20 — $30 |
| CA — EL CENTRO | $15 | $20 — $30 |
| CA — FRESNO | $15 | $20 — $30 |
| CA — HANFORD-CORCORAN | $15 | $20 — $30 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $16 | $21 — $32 |
| CA — MADERA | $15 | $20 — $30 |
| CA — MERCED | $15 | $20 — $30 |
| CA — MODESTO | $15 | $20 — $30 |
| CA — NAPA | $17 | $22 — $34 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $16 | $21 — $32 |
| CA — REDDING | $15 | $20 — $30 |
| CA — REST OF CALIFORNIA | $15 | $20 — $30 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $15 | $20 — $30 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $16 | $20 — $31 |
| CA — SALINAS | $16 | $20 — $31 |
Frequently Asked Questions
How much does App mdlty 1+ultrasound ea 15 cost?
The Medicare facility rate is $14. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does App mdlty 1+ultrasound ea 15 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $14.