RxDoctor Payments Data

CPT 82570

Creatinine level to test for kidney function or muscle injury

$5.06Medicare-allowed amount per service, averaged across 5,488,379 services
Providers submitted
$45.88

Asking price, not received

Medicare allowed
$5.06

The fee schedule figure

Medicare paid
$5.06

Balance is patient coinsurance

Providers submitted an average of $45.88 for this code and Medicare allowed $5.069.1× 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 $5.06 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$5.06
Hospital / facility
$5.07

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 5,487,884 services were billed in an office setting and 495 in a facility.

Services
5,488,379

Medicare Part B, 2024

Beneficiaries
3,841,075
Providers billing it
13,102
Total allowed
$27,771,198

Services × allowed amount

What Medicare pays for CPT 82570

Across 5,488,379 services billed by 13,102 providers to 3,841,075 beneficiaries, Medicare allowed an average of $5.06 per service. That is 1.4 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 82570

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory4,258,4832,972,302$5.07692
Family Practice297,804241,239$4.984,638
Internal Medicine285,048209,883$5.013,345
Urology134,89179,667$5.05201
Nurse Practitioner132,52279,030$5.032,036
Nephrology129,69166,697$5.06511
Pathology97,36279,830$5.0551
Endocrinology67,42347,153$5.05459
Physician Assistant44,03035,156$4.98817
General Practice6,3604,586$5.0457
Rheumatology6,1894,394$5.01107
Hematology-Oncology5,7854,000$5.0724
Cardiology4,1063,580$5.0723
Gastroenterology3,8622,700$5.024
Obstetrics & Gynecology3,8141,867$5.059

82570 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
California643,996$5.08$5.08299
Florida578,322$5.08$5.08850
Texas564,082$5.07$5.081,042
New Jersey558,483$5.07$5.08242
North Carolina473,274$5.07$5.081,016
Arizona315,217$5.07$5.08311
Tennessee189,152$5.04$5.081,017
Illinois185,970$5.07$5.08443
Ohio175,240$5.07$5.08379
Alabama161,908$5.06$5.08426
Kansas155,261$5.08$5.08191
Georgia153,955$5.06$5.08508
New York136,024$5.07$5.08718
Massachusetts124,954$5.08$5.08475
Maryland90,190$5.07$5.08240
Washington88,784$5.06$5.08268
Pennsylvania78,147$5.07$5.08131
Virginia72,267$5.06$5.08433
Wisconsin68,817$5.00$5.07152
South Carolina61,973$5.05$5.08415
Oklahoma57,467$5.06$5.08126
Hawaii45,748$5.06$5.082
Nevada45,642$5.07$5.0831
Oregon41,030$5.06$5.08193
Minnesota38,354$4.00$4.03469
Indiana37,978$5.06$5.08196
Mississippi31,545$5.04$5.08176
Michigan31,201$5.05$5.08178
Colorado31,159$5.06$5.0839
Louisiana29,093$5.06$5.08216
Missouri28,287$5.06$5.07254
Iowa24,599$5.06$5.08233
Utah24,011$5.06$5.08215
Nebraska20,069$5.06$5.08223
New Mexico20,050$5.06$5.0831
Arkansas18,755$5.05$5.08160
Kentucky16,069$5.04$5.08163
Connecticut11,207$5.07$5.08139
Puerto Rico9,177$5.06$5.08156
South Dakota8,436$5.07$5.0855
Rhode Island8,296$5.04$5.0511
Delaware7,121$5.05$5.0814
Idaho5,367$5.06$5.0832
North Dakota4,789$5.01$5.0229
Maine3,720$5.04$5.0836
Alaska3,069$5.03$5.0834
Montana2,767$5.06$5.0829
New Hampshire2,675$5.07$5.0848
West Virginia1,856$5.05$5.0816
Wyoming1,192$5.06$5.0818
U.S. Virgin Islands882$5.08$5.083
District of Columbia352$4.71$4.769
Guam265$4.99$5.085
Vermont109$5.08$5.086
AE26$0.01$0.011

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.