How much does Medicare pay for CPT 82679?

Medicare allowed an average of $24.43 per service and paid $24.43 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $195.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82679?

Estrone (hormone) level. It was billed 30,400 times to 22,968 Medicare beneficiaries by 88 providers in 2024.

Which specialty bills 82679 most?

Clinical Laboratory, with 30,107 services from 83 clinicians. Next are Endocrinology, Nurse Practitioner, Obstetrics & Gynecology.

CPT 82679

Estrone (hormone) level

$24.43Medicare-allowed amount per service, averaged across 30,400 services

Providers submitted

$195.79

Asking price, not received

Medicare allowed

$24.43

The fee schedule figure

Medicare paid

$24.43

Balance is patient coinsurance

Providers submitted an average of $195.79 for this code and Medicare allowed $24.43 — 8.0× 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 $24.43 (100%); the rest is the patient’s coinsurance and deductible.

Services: 30,400
Beneficiaries: 22,968
Providers billing it: 88
Total allowed: $742,672

What Medicare pays for CPT 82679

Across 30,400 services billed by 88 providers to 22,968 beneficiaries, Medicare allowed an average of $24.43 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 82679

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	30,107	22,765	$24.43	83
Endocrinology	162	103	$24.45	1
Nurse Practitioner	93	65	$24.45	2
Obstetrics & Gynecology	25	22	$21.78	1
Pathology	13	13	$24.45	1

82679 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	5,841	$24.45	$24.45	7
North Carolina	4,813	$24.42	$24.45	5
New Jersey	3,707	$24.44	$24.45	6
Texas	2,647	$24.43	$24.45	7
California	2,559	$24.45	$24.45	8
Ohio	1,641	$24.45	$24.45	5
Arizona	1,428	$24.42	$24.45	2
Kansas	1,024	$24.45	$24.45	2
Alabama	868	$24.43	$24.45	3
Georgia	788	$24.45	$24.45	1
Oregon	754	$24.45	$24.45	4
Tennessee	607	$24.35	$24.45	4
New York	566	$24.36	$24.36	3
Washington	558	$24.45	$24.45	3
Massachusetts	524	$24.43	$24.45	3
Illinois	366	$24.45	$24.45	1
Louisiana	302	$24.45	$24.45	1
Indiana	255	$24.45	$24.45	3
Pennsylvania	214	$24.45	$24.45	4
Colorado	180	$24.45	$24.45	2
Nevada	176	$24.45	$24.45	1
Hawaii	169	$24.45	$24.45	2
Maryland	155	$24.02	$24.45	2
Utah	84	$24.45	$24.45	2
Minnesota	36	$24.45	$24.45	1
Puerto Rico	34	$24.45	$24.45	1
Oklahoma	30	$24.45	$24.45	1
Idaho	29	$24.45	$24.45	1
New Mexico	19	$24.45	$24.45	1
Wisconsin	13	$24.45	$24.45	1
Virginia	13	$24.45	$24.45	1

Related codes

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