How much does Medicare pay for CPT 82607?

Medicare allowed an average of $14.76 per service and paid $14.76 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $88.34, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82607?

Cyanocobalamin (vitamin b-12) level. It was billed 4,643,777 times to 3,685,934 Medicare beneficiaries by 11,361 providers in 2024.

Does 82607 pay differently in an office than a hospital?

Yes. The allowed amount averaged $14.76 in an office setting and $14.75 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 82607 most?

Clinical Laboratory, with 3,644,754 services from 785 clinicians. Next are Internal Medicine, Family Practice, Hematology-Oncology.

CPT 82607

Cyanocobalamin (vitamin b-12) level

$14.76Medicare-allowed amount per service, averaged across 4,643,777 services

Providers submitted

$88.34

Asking price, not received

Medicare allowed

$14.76

The fee schedule figure

Medicare paid

$14.76

Balance is patient coinsurance

Providers submitted an average of $88.34 for this code and Medicare allowed $14.76 — 6.0× 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 $14.76 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $14.76
Hospital / facility: $14.75

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 4,643,132 services were billed in an office setting and 645 in a facility.

Services: 4,643,777
Beneficiaries: 3,685,934
Providers billing it: 11,361
Total allowed: $68,542,149

What Medicare pays for CPT 82607

Across 4,643,777 services billed by 11,361 providers to 3,685,934 beneficiaries, Medicare allowed an average of $14.76 per service. That is 1.3 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 82607

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	3,644,754	2,924,636	$14.77	785
Internal Medicine	298,949	234,242	$14.73	3,034
Family Practice	218,816	174,364	$14.71	3,009
Hematology-Oncology	125,638	87,271	$14.71	857
Pathology	124,621	86,860	$14.74	52
Nurse Practitioner	70,290	58,926	$14.70	1,717
Endocrinology	42,028	27,364	$14.70	239
Medical Oncology	24,295	17,779	$14.72	244
Physician Assistant	24,052	20,675	$14.70	662
Rheumatology	12,635	8,603	$14.69	139
Cardiology	11,927	8,188	$14.76	50
Neurology	7,750	7,431	$14.70	174
Nephrology	7,549	5,047	$14.71	81
General Practice	6,715	5,175	$14.72	41
Hematology	2,604	1,807	$14.62	18

82607 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
Florida	745,921	$14.77	$14.78	885
California	590,974	$14.77	$14.78	397
New Jersey	439,991	$14.77	$14.78	141
North Carolina	350,906	$14.77	$14.78	648
New York	346,992	$14.76	$14.78	1,018
Texas	281,002	$14.75	$14.78	844
Ohio	187,569	$14.75	$14.78	287
Arizona	172,701	$14.75	$14.78	242
Alabama	148,483	$14.72	$14.78	399
Illinois	134,985	$14.76	$14.78	369
Tennessee	134,363	$14.71	$14.78	1,001
Massachusetts	129,448	$14.77	$14.78	465
Georgia	125,285	$14.75	$14.78	443
Kansas	93,657	$14.77	$14.78	121
Virginia	73,010	$14.73	$14.78	407
Washington	65,452	$14.74	$14.78	261
Pennsylvania	58,168	$14.76	$14.78	108
Michigan	52,931	$14.76	$14.78	146
Maryland	50,572	$14.76	$14.78	150
Nevada	41,471	$14.76	$14.78	58
South Carolina	35,953	$14.72	$14.78	232
Kentucky	35,624	$14.73	$14.78	128
Indiana	35,237	$14.73	$14.78	96
Wisconsin	32,445	$14.60	$14.78	84
Oklahoma	26,535	$14.75	$14.78	81
Oregon	25,613	$14.72	$14.78	215
Minnesota	22,953	$14.72	$14.78	308
Missouri	22,177	$14.72	$14.78	217
Arkansas	20,375	$14.69	$14.78	235
Mississippi	18,643	$14.64	$14.78	143
Colorado	17,034	$14.75	$14.78	56
Utah	16,454	$14.73	$14.78	164
North Dakota	13,516	$14.77	$14.78	26
Hawaii	13,236	$14.74	$14.78	2
Iowa	12,249	$14.73	$14.78	203
Louisiana	11,912	$14.75	$14.78	101
Nebraska	8,689	$14.73	$14.78	91
Puerto Rico	7,036	$14.67	$14.78	126
New Mexico	6,947	$14.70	$14.78	34
Connecticut	6,709	$14.73	$14.78	102
South Dakota	6,185	$14.72	$14.78	64
Rhode Island	6,155	$14.76	$14.78	6
Maine	5,126	$14.74	$14.78	80
New Hampshire	3,234	$14.74	$14.78	63
West Virginia	3,033	$14.67	$14.78	27
Idaho	2,148	$14.76	$14.78	22
Alaska	1,621	$14.62	$14.78	39
Montana	736	$14.77	$14.78	2
U.S. Virgin Islands	719	$14.77	$14.78	3
Delaware	625	$14.78	$14.78	4
District of Columbia	470	$14.78	$14.78	5
Wyoming	324	$14.72	$14.78	4
Vermont	116	$14.78	$14.78	5
Guam	45	$14.62	$14.78	2
AE	22	$14.78	$14.78	1

Related codes

82670Measurement of total estradiol (hormone)$27.32
82627Dehydroepiandrosterone (dhea-s) hormone level$21.75
82652Dihydroxyvitamin d$37.66
82626Dehydroepiandrosterone (dhea) hormone level$24.75
82610Cystatin c (enzyme inhibitor) level$18.12
82668Erythropoietin (protein) level$18.38
82677Estriol (hormone) level$23.69
82653Measurement of pancreatic elastase (enzyme) in stool$22.48
82672Estrogen analysis$21.25
82679Estrone (hormone) level$24.43
82656Detection of pancreatic elastase (enzyme) in stool$11.29
82642Measurement of dihydrotestosterone$28.61

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.