How much does Medicare pay for CPT 82670?

Medicare allowed an average of $27.32 per service and paid $27.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $162.23, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82670?

Measurement of total estradiol (hormone). It was billed 414,565 times to 301,421 Medicare beneficiaries by 973 providers in 2024.

Which specialty bills 82670 most?

Clinical Laboratory, with 359,943 services from 352 clinicians. Next are Urology, Family Practice, Nurse Practitioner.

CPT 82670

Measurement of total estradiol (hormone)

$27.32Medicare-allowed amount per service, averaged across 414,565 services

Providers submitted

$162.23

Asking price, not received

Medicare allowed

$27.32

The fee schedule figure

Medicare paid

$27.32

Balance is patient coinsurance

Providers submitted an average of $162.23 for this code and Medicare allowed $27.32 — 5.9× 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 $27.32 (100%); the rest is the patient’s coinsurance and deductible.

Services: 414,565
Beneficiaries: 301,421
Providers billing it: 973
Total allowed: $11,325,916

What Medicare pays for CPT 82670

Across 414,565 services billed by 973 providers to 301,421 beneficiaries, Medicare allowed an average of $27.32 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 82670

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	359,943	264,059	$27.34	352
Urology	14,286	9,349	$27.22	153
Family Practice	7,662	5,489	$27.07	83
Nurse Practitioner	7,250	4,988	$27.06	125
Internal Medicine	6,367	4,971	$27.33	70
Pathology	5,297	4,041	$27.21	33
Physician Assistant	3,147	2,167	$27.03	53
Endocrinology	2,995	1,977	$27.10	43
Obstetrics & Gynecology	1,818	1,293	$27.01	29
General Practice	1,472	660	$27.35	6
Hematology-Oncology	1,410	685	$27.28	7
Rheumatology	821	283	$27.19	3
Cardiology	748	517	$27.38	3
Nephrology	380	185	$27.31	1
Medical Oncology	261	174	$27.38	1

82670 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
Texas	68,119	$27.32	$27.38	114
California	59,363	$27.34	$27.38	112
Florida	55,377	$27.36	$27.38	73
New Jersey	29,463	$27.34	$27.38	28
North Carolina	27,966	$27.33	$27.38	37
Arizona	24,371	$27.29	$27.38	19
Ohio	15,777	$27.35	$27.38	25
Tennessee	15,569	$27.22	$27.38	50
Alabama	14,187	$27.26	$27.38	33
New York	13,882	$27.33	$27.38	75
Massachusetts	11,098	$27.36	$27.38	8
Georgia	9,447	$27.30	$27.38	14
Kansas	8,876	$27.37	$27.38	9
Illinois	6,997	$27.31	$27.38	18
Oklahoma	6,130	$27.25	$27.38	28
Washington	5,082	$27.38	$27.38	7
Colorado	4,601	$27.33	$27.38	6
Oregon	4,264	$27.15	$27.38	49
Pennsylvania	4,074	$27.33	$27.38	10
Maryland	3,732	$27.33	$27.38	11
Nevada	2,694	$27.33	$27.38	4
South Carolina	2,562	$27.13	$27.38	23
Louisiana	2,544	$27.27	$27.38	25
North Dakota	2,461	$27.37	$27.38	4
Arkansas	2,194	$27.05	$27.38	24
New Mexico	1,559	$27.17	$27.38	2
Indiana	1,451	$27.12	$27.38	22
Michigan	1,400	$27.19	$27.38	22
Minnesota	1,080	$27.25	$27.38	13
Hawaii	1,018	$27.32	$27.38	2
Missouri	948	$27.33	$27.38	10
Nebraska	934	$27.30	$27.38	11
Wisconsin	879	$26.76	$27.38	8
Idaho	736	$27.29	$27.38	11
Virginia	710	$27.21	$27.38	9
Utah	587	$27.21	$27.38	10
Puerto Rico	536	$27.36	$27.38	6
Mississippi	392	$26.91	$27.38	12
Kentucky	375	$27.16	$27.38	7
Alaska	302	$26.73	$27.38	5
Iowa	258	$27.22	$27.38	6
South Dakota	200	$27.27	$27.38	2
Maine	98	$27.38	$27.38	2
Connecticut	98	$27.38	$27.38	2
Rhode Island	70	$27.38	$27.38	1
U.S. Virgin Islands	48	$27.38	$27.38	1
Montana	26	$27.38	$27.38	1
Wyoming	16	$27.38	$27.38	1
West Virginia	14	$25.71	$27.38	1

Related codes

82607Cyanocobalamin (vitamin b-12) level$14.76
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.