RxDoctor Payments Data

CPT 82525

Copper level

$12.12Medicare-allowed amount per service, averaged across 79,665 services
Providers submitted
$81.37

Asking price, not received

Medicare allowed
$12.12

The fee schedule figure

Medicare paid
$12.12

Balance is patient coinsurance

Providers submitted an average of $81.37 for this code and Medicare allowed $12.126.7× 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 $12.12 (100%); the rest is the patient’s coinsurance and deductible.

Services
79,665

Medicare Part B, 2024

Beneficiaries
70,546
Providers billing it
135
Total allowed
$965,540

Services × allowed amount

What Medicare pays for CPT 82525

Across 79,665 services billed by 135 providers to 70,546 beneficiaries, Medicare allowed an average of $12.12 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 82525

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory79,61670,508$12.12134
Pathology4938$12.161

82525 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.

StateServicesAllowedStandardized pmtProviders
North Carolina15,582$12.15$12.167
New Jersey11,206$12.13$12.168
California8,538$11.94$12.1610
Texas7,442$12.15$12.169
Florida6,134$12.15$12.168
Washington4,391$12.15$12.165
Arizona4,120$12.13$12.164
Georgia3,502$12.16$12.161
Pennsylvania2,638$12.13$12.166
Ohio2,436$12.13$12.1610
Kansas1,860$12.15$12.164
Tennessee1,691$12.13$12.163
Alabama1,408$12.13$12.163
Illinois1,085$12.16$12.162
Utah966$12.08$12.163
Colorado782$12.16$12.163
New York719$12.15$12.164
Maryland695$12.16$12.164
Minnesota641$12.12$12.163
Oklahoma598$12.16$12.163
Virginia512$12.14$12.164
Oregon432$11.95$12.165
Massachusetts394$12.16$12.162
Nevada378$12.16$12.162
Hawaii300$12.16$12.162
Wisconsin279$12.12$12.162
New Mexico177$12.04$12.161
Iowa158$11.89$12.162
Kentucky156$12.16$12.161
Indiana128$12.08$12.162
Michigan95$12.16$12.161
Mississippi45$12.16$12.161
Puerto Rico42$12.16$12.162
South Dakota37$12.16$12.162
Louisiana35$12.16$12.162
Maine20$12.16$12.161
Idaho20$12.16$12.161
Rhode Island12$12.16$12.161
South Carolina11$12.16$12.161

Related codes

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.