How much does Medicare pay for CPT 82652?

Medicare allowed an average of $37.66 per service and paid $37.66 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $270.23, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82652?

Dihydroxyvitamin d, 1, 25 level. It was billed 154,623 times to 134,431 Medicare beneficiaries by 261 providers in 2024.

Does 82652 pay differently in an office than a hospital?

Yes. The allowed amount averaged $37.66 in an office setting and $37.73 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 82652 most?

Clinical Laboratory, with 146,155 services from 180 clinicians. Next are Nephrology, Internal Medicine, Cardiology.

CPT 82652

Dihydroxyvitamin d, 1, 25 level

$37.66Medicare-allowed amount per service, averaged across 154,623 services

Providers submitted

$270.23

Asking price, not received

Medicare allowed

$37.66

The fee schedule figure

Medicare paid

$37.66

Balance is patient coinsurance

Providers submitted an average of $270.23 for this code and Medicare allowed $37.66 — 7.2× 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 $37.66 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $37.66
Hospital / facility: $37.73

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 154,612 services were billed in an office setting and 11 in a facility.

Services: 154,623
Beneficiaries: 134,431
Providers billing it: 261
Total allowed: $5,823,102

What Medicare pays for CPT 82652

Across 154,623 services billed by 261 providers to 134,431 beneficiaries, Medicare allowed an average of $37.66 per service. That is 1.2 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 82652

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	146,155	128,222	$37.67	180
Nephrology	3,881	2,712	$37.61	37
Internal Medicine	1,350	828	$36.26	11
Cardiology	1,068	782	$37.71	6
Family Practice	720	668	$37.36	5
Pathology	519	419	$37.66	4
Nurse Practitioner	391	337	$37.36	10
Physician Assistant	266	215	$37.73	2
Endocrinology	143	126	$37.47	3
Obstetrics & Gynecology	79	74	$37.73	1
Emergency Medicine	38	35	$37.73	1
Hematology-Oncology	13	13	$37.73	1

82652 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	31,587	$37.72	$37.73	16
California	24,352	$37.66	$37.73	34
New Jersey	22,044	$37.71	$37.73	10
Texas	14,039	$37.72	$37.73	19
New York	10,130	$37.72	$37.73	17
North Carolina	8,654	$37.70	$37.73	5
Arizona	6,986	$37.62	$37.73	53
Ohio	4,190	$37.67	$37.73	8
Massachusetts	3,889	$37.72	$37.73	4
Georgia	3,112	$37.73	$37.73	4
Pennsylvania	2,925	$37.70	$37.73	5
Illinois	2,898	$37.70	$37.73	4
Tennessee	2,857	$37.61	$37.73	6
Nevada	2,375	$37.70	$37.73	2
Maryland	1,983	$37.73	$37.73	5
Kansas	1,620	$37.73	$37.73	4
Oklahoma	1,374	$37.73	$37.73	3
Michigan	1,316	$37.60	$37.73	8
Virginia	1,287	$35.21	$37.73	6
Colorado	998	$35.79	$37.73	4
Utah	934	$37.66	$37.73	4
Washington	927	$37.72	$37.73	4
Alabama	824	$37.71	$37.73	3
Wisconsin	518	$37.11	$37.73	4
Hawaii	448	$37.70	$37.73	2
Indiana	401	$37.65	$37.73	1
Minnesota	389	$37.63	$37.73	3
Mississippi	298	$36.94	$37.73	1
Connecticut	210	$37.57	$37.73	2
Oregon	161	$37.73	$37.73	3
Rhode Island	152	$37.73	$37.73	1
Delaware	142	$37.73	$37.73	1
Puerto Rico	128	$37.70	$37.73	3
Kentucky	104	$37.73	$37.73	2
New Mexico	98	$37.05	$37.73	1
Louisiana	77	$37.32	$37.73	2
Iowa	64	$36.27	$37.73	1
Idaho	42	$37.73	$37.73	1
Maine	26	$37.73	$37.73	1
South Carolina	20	$37.73	$37.73	1
South Dakota	16	$37.73	$37.73	1
North Dakota	14	$37.73	$37.73	1
U.S. Virgin Islands	14	$37.73	$37.73	1

Related codes

82607Cyanocobalamin (vitamin b-12) level$14.76
82670Measurement of total estradiol (hormone)$27.32
82627Dehydroepiandrosterone (dhea-s) hormone level$21.75
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.