How much does Medicare pay for CPT 97760?

Medicare allowed an average of $40.00 per service and paid $30.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $109.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 97760?

Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes. It was billed 35,108 times to 22,297 Medicare beneficiaries by 848 providers in 2024.

Does 97760 pay differently in an office than a hospital?

Yes. The allowed amount averaged $40.04 in an office setting and $35.22 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 97760 most?

Occupational Therapist in Private Practice, with 18,657 services from 498 clinicians. Next are Physical Therapist in Private Practice, Podiatry, Orthopedic Surgery.

CPT 97760

Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes

$40.00Medicare-allowed amount per service, averaged across 35,108 services

Providers submitted

$109.25

Asking price, not received

Medicare allowed

$40.00

The fee schedule figure

Medicare paid

$30.42

Balance is patient coinsurance

Providers submitted an average of $109.25 for this code and Medicare allowed $40.00 — 2.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $30.42 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $40.04
Hospital / facility: $35.22

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 34,831 services were billed in an office setting and 277 in a facility.

Services: 35,108
Beneficiaries: 22,297
Providers billing it: 848
Total allowed: $1,404,320

What Medicare pays for CPT 97760

Across 35,108 services billed by 848 providers to 22,297 beneficiaries, Medicare allowed an average of $40.00 per service. That is 1.6 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 97760

Specialty	Services	Beneficiaries	Avg allowed	Providers
Occupational Therapist in Private Practice	18,657	11,540	$38.97	498
Physical Therapist in Private Practice	7,892	3,458	$36.19	107
Podiatry	2,007	1,764	$46.78	75
Orthopedic Surgery	1,873	1,698	$47.15	62
Hand Surgery	1,515	1,184	$47.39	26
Pain Management	475	429	$45.13	8
Physical Medicine and Rehabilitation	465	377	$49.01	11
Physician Assistant	432	386	$40.49	18
Interventional Pain Management	373	311	$44.76	4
Internal Medicine	310	195	$41.21	6
Nurse Practitioner	276	216	$38.09	9
Family Practice	226	172	$39.58	8
Anesthesiology	214	206	$45.52	3
Neurosurgery	154	141	$44.78	5
Sports Medicine	86	85	$43.09	2

97760 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	3,698	$44.34	$30.53	96
Virginia	3,071	$35.22	$26.74	34
New York	2,305	$46.81	$32.34	48
Florida	1,987	$41.54	$31.86	44
Arizona	1,910	$42.95	$33.40	36
Indiana	1,691	$34.41	$26.52	28
Texas	1,278	$41.86	$32.89	39
Ohio	1,272	$38.20	$30.23	26
Massachusetts	1,247	$39.84	$29.09	34
Colorado	1,165	$40.47	$29.49	28
North Carolina	1,104	$36.56	$29.36	28
Tennessee	1,035	$35.76	$27.99	19
Maryland	1,031	$42.20	$30.76	28
Illinois	978	$43.03	$31.90	32
South Carolina	953	$33.25	$26.64	19
New Jersey	847	$46.88	$33.12	31
Washington	842	$41.77	$30.90	29
Pennsylvania	790	$40.12	$32.13	23
Georgia	710	$39.39	$31.93	27
Montana	655	$40.01	$29.95	13
Wyoming	594	$41.01	$31.40	9
Michigan	576	$37.90	$30.21	21
Oregon	511	$36.79	$28.47	14
Missouri	409	$37.81	$29.93	15
Minnesota	403	$34.63	$26.82	15
Arkansas	396	$35.07	$29.73	9
Oklahoma	282	$32.12	$26.66	5
Louisiana	281	$37.51	$31.48	9
Alabama	281	$36.30	$31.06	12
Kentucky	276	$38.14	$31.97	8
Iowa	270	$33.86	$28.23	7
Mississippi	259	$35.81	$29.82	7
Nebraska	258	$36.86	$30.44	9
Connecticut	255	$48.16	$34.41	5
Nevada	247	$45.67	$33.85	8
Kansas	226	$34.18	$28.23	7
Idaho	205	$33.81	$27.24	3
Hawaii	170	$39.51	$29.60	5
District of Columbia	151	$41.18	$27.77	3
Wisconsin	118	$41.15	$30.94	5
Alaska	115	$46.78	$28.99	3
Utah	111	$33.85	$24.92	2
New Mexico	64	$32.17	$26.24	1
South Dakota	24	$46.45	$27.19	1
Delaware	22	$42.48	$30.06	1
West Virginia	18	$42.94	$35.39	1
New Hampshire	17	$35.39	$25.32	1

Related codes

97750Test or measurement for functional capacity$28.71
97763Follow-up training in the use of orthopedic device or artificial arm$45.92
97761Training in the use of artificial arm and/or leg$35.70
97755Evaluation for assistive technology$30.38

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.