How much does Medicare pay for CPT 80307?

Medicare allowed an average of $60.31 per service and paid $60.31 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $211.42, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 80307?

Testing for presence of drug, by chemistry analyzers. It was billed 1,887,956 times to 944,763 Medicare beneficiaries by 4,731 providers in 2024.

Does 80307 pay differently in an office than a hospital?

Yes. The allowed amount averaged $60.31 in an office setting and $35.20 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 80307 most?

Clinical Laboratory, with 929,747 services from 502 clinicians. Next are Nurse Practitioner, Pain Management, Interventional Pain Management.

CPT 80307

Testing for presence of drug, by chemistry analyzers

$60.31Medicare-allowed amount per service, averaged across 1,887,956 services

Providers submitted

$211.42

Asking price, not received

Medicare allowed

$60.31

The fee schedule figure

Medicare paid

$60.31

Balance is patient coinsurance

Providers submitted an average of $211.42 for this code and Medicare allowed $60.31 — 3.5× 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 $60.31 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $60.31
Hospital / facility: $35.20

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. 1,887,930 services were billed in an office setting and 26 in a facility.

Services: 1,887,956
Beneficiaries: 944,763
Providers billing it: 4,731
Total allowed: $113,862,626

What Medicare pays for CPT 80307

Across 1,887,956 services billed by 4,731 providers to 944,763 beneficiaries, Medicare allowed an average of $60.31 per service. That is 2.0 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 80307

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	929,747	495,759	$60.63	502
Nurse Practitioner	235,129	112,812	$59.85	1,406
Pain Management	145,940	73,692	$60.06	480
Interventional Pain Management	142,718	67,045	$59.98	366
Anesthesiology	139,635	63,362	$60.07	385
Physician Assistant	94,973	49,851	$60.04	647
Physical Medicine and Rehabilitation	80,093	37,998	$59.97	302
Family Practice	29,919	11,739	$60.04	221
Internal Medicine	23,421	8,632	$60.12	179
Neurology	14,903	4,221	$60.03	26
Psychiatry	10,016	3,308	$60.61	51
Emergency Medicine	7,053	2,683	$60.34	17
General Practice	5,120	1,671	$60.53	17
Pathology	4,280	3,078	$57.97	11
Orthopedic Surgery	3,268	1,391	$60.10	18

80307 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
North Carolina	214,575	$60.62	$60.90	357
California	177,821	$60.73	$60.89	179
Texas	175,283	$60.04	$60.90	548
Tennessee	117,580	$60.18	$60.90	245
Florida	113,138	$60.67	$60.90	467
Georgia	102,440	$60.34	$60.90	214
New Jersey	88,149	$60.55	$60.90	95
Kentucky	71,069	$59.80	$60.90	221
Massachusetts	67,876	$60.75	$60.90	118
Oklahoma	64,148	$60.14	$60.90	130
Maryland	61,552	$60.31	$60.90	177
Pennsylvania	60,236	$60.64	$60.90	74
Michigan	44,114	$60.41	$60.90	103
New York	41,361	$60.19	$60.90	112
Indiana	40,122	$59.70	$60.90	117
Nevada	39,796	$60.37	$60.90	117
Alabama	34,930	$59.18	$60.90	110
Washington	31,992	$59.92	$60.90	103
Arkansas	30,915	$60.58	$60.90	102
Arizona	28,678	$60.33	$60.90	153
Illinois	27,322	$60.35	$60.90	64
Ohio	26,538	$59.48	$60.36	97
South Carolina	26,330	$59.91	$60.90	132
Louisiana	25,111	$59.93	$60.90	102
Mississippi	25,077	$60.17	$60.90	85
Rhode Island	21,690	$60.66	$60.90	3
Virginia	17,280	$60.19	$60.90	46
Colorado	12,355	$59.50	$60.90	47
Kansas	11,562	$59.53	$60.89	15
Oregon	10,175	$59.93	$60.90	46
Minnesota	9,380	$60.25	$60.90	55
Wisconsin	9,320	$59.96	$60.90	50
Connecticut	8,097	$60.46	$60.90	45
Utah	7,189	$58.67	$60.90	16
North Dakota	6,751	$60.78	$60.90	11
Missouri	5,994	$59.86	$60.90	27
New Hampshire	4,265	$59.09	$60.90	9
Alaska	4,168	$60.07	$60.90	21
New Mexico	3,939	$60.10	$60.90	11
West Virginia	3,440	$60.55	$60.90	26
Idaho	3,343	$60.22	$60.90	21
Delaware	3,312	$59.79	$60.90	15
Hawaii	2,498	$60.21	$60.90	5
Montana	2,212	$60.90	$60.90	7
Nebraska	1,385	$60.03	$60.90	6
Iowa	1,281	$60.32	$60.90	13
Vermont	1,275	$59.98	$60.90	9
District of Columbia	457	$60.79	$60.90	2
Maine	227	$60.90	$60.90	1
South Dakota	181	$60.50	$60.90	1
Wyoming	27	$60.90	$60.90	1

Related codes

80305Testing for presence of drug$12.17
80306Testing for presence of drug$16.59

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.