How much does Medicare pay for CPT 82595?

Medicare allowed an average of $6.34 per service and paid $6.34 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $90.75, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82595?

Cryoglobulin (protein) measurement. It was billed 8,899 times to 8,405 Medicare beneficiaries by 74 providers in 2024.

Which specialty bills 82595 most?

Clinical Laboratory, with 8,874 services from 72 clinicians. Next are Pathology, Internal Medicine.

CPT 82595

Cryoglobulin (protein) measurement

$6.34Medicare-allowed amount per service, averaged across 8,899 services

Providers submitted

$90.75

Asking price, not received

Medicare allowed

$6.34

The fee schedule figure

Medicare paid

$6.34

Balance is patient coinsurance

Providers submitted an average of $90.75 for this code and Medicare allowed $6.34 — 14.3× 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 $6.34 (100%); the rest is the patient’s coinsurance and deductible.

Services: 8,899
Beneficiaries: 8,405
Providers billing it: 74
Total allowed: $56,420

What Medicare pays for CPT 82595

Across 8,899 services billed by 74 providers to 8,405 beneficiaries, Medicare allowed an average of $6.34 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 82595

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	8,874	8,381	$6.34	72
Pathology	14	13	$6.34	1
Internal Medicine	11	11	$6.34	1

82595 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
California	1,442	$6.33	$6.34	11
New Jersey	1,231	$6.34	$6.34	2
Texas	1,032	$6.34	$6.34	7
Florida	906	$6.32	$6.34	5
North Carolina	828	$6.34	$6.34	1
Minnesota	527	$6.41	$6.41	4
New York	359	$6.33	$6.34	3
Ohio	331	$6.32	$6.34	3
Arizona	302	$6.34	$6.34	3
Georgia	240	$6.31	$6.31	1
Illinois	237	$6.34	$6.34	1
Kansas	223	$6.35	$6.34	3
Massachusetts	159	$6.34	$6.34	2
Tennessee	144	$6.30	$6.34	2
Colorado	136	$6.34	$6.34	2
Pennsylvania	133	$6.26	$6.34	2
Washington	95	$6.34	$6.34	3
Maryland	81	$6.34	$6.34	1
Alabama	73	$6.34	$6.34	1
Wisconsin	62	$6.34	$6.34	1
Oklahoma	54	$6.34	$6.34	3
Nevada	48	$6.34	$6.34	1
Hawaii	44	$6.34	$6.34	2
Virginia	40	$6.34	$6.34	1
Utah	35	$6.18	$6.34	2
Oregon	28	$6.34	$6.34	2
New Mexico	27	$6.34	$6.34	1
Maine	25	$6.34	$6.34	1
Rhode Island	23	$6.34	$6.34	1
Indiana	19	$6.34	$6.34	1
Iowa	15	$6.34	$6.34	1

Related codes

82570Creatinine level to test for kidney function or muscle injury$5.06
82550Creatine kinase (cardiac enzyme) level$6.37
82565Blood creatinine level$4.89
82533Cortisol (hormone) measurement$15.94
82542Chemical analysis$23.53
82523Collagen cross links test$18.30
82525Copper level$12.12
82507Citrate level$27.22
82530Cortisol (hormone) measurement$16.35
82553Creatine kinase (cardiac enzyme) level$11.29
82575Creatinine clearance measurement to test for kidney function$9.19
82552Creatine kinase (cardiac enzyme) level$13.09

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.