How much does Medicare pay for CPT 82164?

Medicare allowed an average of $14.25 per service and paid $14.25 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $121.90, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82164?

Angiotensin l - converting enzyme (ace) level. It was billed 42,599 times to 39,896 Medicare beneficiaries by 127 providers in 2024.

Which specialty bills 82164 most?

Clinical Laboratory, with 40,972 services from 117 clinicians. Next are Rheumatology, Pathology.

CPT 82164

Angiotensin l - converting enzyme (ace) level

$14.25Medicare-allowed amount per service, averaged across 42,599 services

Providers submitted

$121.90

Asking price, not received

Medicare allowed

$14.25

The fee schedule figure

Medicare paid

$14.25

Balance is patient coinsurance

Providers submitted an average of $121.90 for this code and Medicare allowed $14.25 — 8.6× 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 $14.25 (100%); the rest is the patient’s coinsurance and deductible.

Services: 42,599
Beneficiaries: 39,896
Providers billing it: 127
Total allowed: $607,036

What Medicare pays for CPT 82164

Across 42,599 services billed by 127 providers to 39,896 beneficiaries, Medicare allowed an average of $14.25 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 82164

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	40,972	38,550	$14.25	117
Rheumatology	1,595	1,314	$14.31	8
Pathology	32	32	$14.31	2

82164 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
New Jersey	8,337	$14.30	$14.31	8
North Carolina	7,515	$14.30	$14.31	5
Florida	3,912	$14.31	$14.31	6
California	3,837	$13.89	$14.31	12
Texas	3,704	$14.30	$14.31	9
New York	3,487	$14.31	$14.31	14
Arizona	1,452	$14.24	$14.31	3
Ohio	1,317	$14.28	$14.31	6
Georgia	935	$14.31	$14.31	1
Alabama	809	$14.31	$14.31	2
Illinois	804	$14.31	$14.31	1
Massachusetts	761	$14.31	$14.31	2
Kansas	719	$14.30	$14.31	4
Minnesota	536	$14.29	$14.31	4
Pennsylvania	514	$14.26	$14.31	4
Tennessee	496	$14.23	$14.31	3
Nevada	420	$14.25	$14.31	1
Maryland	405	$14.31	$14.31	4
Wisconsin	400	$14.25	$14.31	2
Virginia	378	$14.15	$14.31	4
Oklahoma	358	$14.31	$14.31	3
Utah	294	$14.31	$14.31	2
Washington	259	$14.31	$14.31	3
Colorado	174	$14.31	$14.31	1
New Mexico	139	$14.14	$14.31	2
Hawaii	130	$14.31	$14.31	2
Michigan	89	$9.46	$14.16	4
Oregon	76	$14.31	$14.31	3
Indiana	75	$14.31	$14.31	1
Iowa	72	$14.31	$14.31	2
Kentucky	49	$13.63	$14.31	2
Idaho	33	$14.31	$14.31	1
Puerto Rico	27	$13.73	$14.31	1
North Dakota	27	$14.31	$14.31	1
Rhode Island	17	$14.31	$14.31	1
Maine	16	$14.31	$14.31	1
South Dakota	14	$14.31	$14.31	1
Connecticut	12	$14.31	$14.31	1

Related codes

82172Apolipoprotein level$20.61
82150Amylase (enzyme) level$6.34
82140Ammonia level$14.27
82105Alpha-fetoprotein (afp) level$16.40
82103Alpha-1-antitrypsin (protein) blood test$13.14
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.