RxDoctor Payments Data

CPT 82785

Ige (immune system protein) level

$16.10Medicare-allowed amount per service, averaged across 125,992 services
Providers submitted
$94.59

Asking price, not received

Medicare allowed
$16.10

The fee schedule figure

Medicare paid
$16.10

Balance is patient coinsurance

Providers submitted an average of $94.59 for this code and Medicare allowed $16.105.9× 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 $16.10 (100%); the rest is the patient’s coinsurance and deductible.

Services
125,992

Medicare Part B, 2024

Beneficiaries
115,032
Providers billing it
334
Total allowed
$2,028,471

Services × allowed amount

What Medicare pays for CPT 82785

Across 125,992 services billed by 334 providers to 115,032 beneficiaries, Medicare allowed an average of $16.10 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 82785

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory117,625108,491$16.11200
Internal Medicine2,0171,632$16.1016
Family Practice1,209858$16.135
Hematology-Oncology1,200991$15.9931
Rheumatology882313$16.084
Pathology566552$15.909
Otolaryngology484484$15.9414
Medical Oncology463288$16.105
Allergy/ Immunology427414$15.8215
Physician Assistant366278$16.1010
Pulmonary Disease341340$16.078
Nurse Practitioner194190$16.139
General Practice7069$16.131
Hematology3533$16.131
Neurology2818$13.831

82785 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.

StateServicesAllowedStandardized pmtProviders
North Carolina25,689$16.11$16.1331
California21,796$16.12$16.1342
New Jersey10,942$16.11$16.1313
Arizona9,432$16.10$16.134
New York9,351$16.09$16.1364
Florida7,136$16.12$16.1312
Texas6,244$16.12$16.1315
Illinois4,938$16.11$16.139
Kansas3,140$16.12$16.135
Tennessee2,840$16.10$16.135
Ohio2,826$16.08$16.1311
Massachusetts2,806$16.12$16.1312
Alabama2,806$16.11$16.132
Georgia2,677$16.13$16.132
Washington1,667$16.12$16.139
Nevada1,475$16.10$16.132
Virginia1,267$16.07$16.134
Minnesota1,138$16.06$16.137
Pennsylvania969$16.12$16.136
Hawaii943$16.04$16.132
Maryland721$16.11$16.135
Wisconsin716$15.70$16.134
Louisiana560$15.99$16.1314
Oklahoma544$16.05$16.133
Indiana456$16.09$16.134
Oregon430$15.94$16.134
Colorado349$16.10$16.132
Michigan329$16.09$16.136
Utah320$16.09$16.134
Kentucky230$15.99$16.137
New Mexico225$15.89$16.131
South Dakota196$16.13$16.132
South Carolina168$16.00$16.134
Puerto Rico155$16.07$16.134
Rhode Island128$15.96$16.131
Iowa102$16.13$16.133
Maine92$16.13$16.132
Mississippi42$15.90$16.131
Connecticut32$16.13$16.131
Nebraska30$15.77$16.131
Idaho29$16.13$16.131
U.S. Virgin Islands21$16.13$16.131
Missouri21$16.13$16.131
North Dakota14$16.13$16.131

Related codes

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.