How much does Medicare pay for CPT 82103?

Medicare allowed an average of $13.14 per service and paid $13.14 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $95.50, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82103?

Alpha-1-antitrypsin (protein) blood test, total. It was billed 47,614 times to 46,114 Medicare beneficiaries by 138 providers in 2024.

Which specialty bills 82103 most?

Clinical Laboratory, with 46,684 services from 128 clinicians. Next are Pathology, Gastroenterology, Pulmonary Disease.

CPT 82103

Alpha-1-antitrypsin (protein) blood test, total

$13.14Medicare-allowed amount per service, averaged across 47,614 services

Providers submitted

$95.50

Asking price, not received

Medicare allowed

$13.14

The fee schedule figure

Medicare paid

$13.14

Balance is patient coinsurance

Providers submitted an average of $95.50 for this code and Medicare allowed $13.14 — 7.3× 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 $13.14 (100%); the rest is the patient’s coinsurance and deductible.

Services: 47,614
Beneficiaries: 46,114
Providers billing it: 138
Total allowed: $625,648

What Medicare pays for CPT 82103

Across 47,614 services billed by 138 providers to 46,114 beneficiaries, Medicare allowed an average of $13.14 per service. 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 82103

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	46,684	45,190	$13.14	128
Pathology	890	884	$13.10	7
Gastroenterology	23	23	$13.17	2
Pulmonary Disease	17	17	$13.17	1

82103 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	5,552	$13.14	$13.17	4
Texas	5,171	$13.16	$13.17	11
New Jersey	5,000	$13.15	$13.17	6
California	4,340	$13.02	$13.17	12
Florida	3,778	$13.15	$13.17	8
Illinois	2,673	$13.17	$13.17	5
Arizona	2,590	$13.14	$13.17	4
Oklahoma	2,192	$13.15	$13.17	3
Georgia	2,063	$13.17	$13.17	1
Alabama	1,691	$13.16	$13.17	2
New York	1,648	$13.16	$13.17	5
Ohio	1,648	$13.14	$13.17	9
Kansas	1,392	$13.16	$13.17	4
Massachusetts	899	$13.17	$13.17	4
Washington	792	$13.17	$13.17	5
Minnesota	776	$13.12	$13.17	3
Tennessee	725	$13.07	$13.17	3
Pennsylvania	692	$13.17	$13.17	5
Maryland	658	$13.10	$13.17	5
Wisconsin	464	$13.05	$13.17	4
Virginia	385	$13.11	$13.17	4
Nevada	373	$13.14	$13.17	2
Utah	347	$13.17	$13.17	2
Colorado	333	$13.14	$13.17	3
Hawaii	191	$13.17	$13.17	2
Oregon	181	$13.17	$13.17	3
Kentucky	160	$13.10	$13.17	2
Rhode Island	158	$13.17	$13.17	1
Iowa	145	$13.10	$13.17	2
New Mexico	123	$13.00	$13.17	1
Michigan	95	$13.17	$13.17	4
South Carolina	81	$13.17	$13.17	1
Indiana	77	$13.17	$13.17	1
Maine	71	$13.17	$13.17	1
Mississippi	60	$13.03	$13.17	2
South Dakota	46	$13.14	$13.17	1
Louisiana	19	$13.17	$13.17	1
Connecticut	14	$13.17	$13.17	1
Puerto Rico	11	$12.69	$13.17	1

Related codes

82172Apolipoprotein level$20.61
82150Amylase (enzyme) level$6.34
82140Ammonia level$14.27
82105Alpha-fetoprotein (afp) level$16.40
82164Angiotensin l - converting enzyme (ace) level$14.25
82175Arsenic level$18.22
82180Ascorbic acid (vitamin c) level$9.68
82107Alpha-fetoprotein (afp) analysis$62.98
82104Alpha-1-antitrypsin (protein) blood test$14.13
82139Amino acid level$16.52
82108Aluminum level$24.78
82157Androstenedione (hormone) level$28.62

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.