How much does Medicare pay for CPT 82945?

Medicare allowed an average of $3.83 per service and paid $3.83 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $19.11, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82945?

Glucose (sugar) level on body fluid. It was billed 61,965 times to 39,553 Medicare beneficiaries by 170 providers in 2024.

Which specialty bills 82945 most?

Urology, with 32,237 services from 69 clinicians. Next are Clinical Laboratory, Physician Assistant, Nurse Practitioner.

CPT 82945

Glucose (sugar) level on body fluid

$3.83Medicare-allowed amount per service, averaged across 61,965 services

Providers submitted

$19.11

Asking price, not received

Medicare allowed

$3.83

The fee schedule figure

Medicare paid

$3.83

Balance is patient coinsurance

Providers submitted an average of $19.11 for this code and Medicare allowed $3.83 — 5.0× 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 $3.83 (100%); the rest is the patient’s coinsurance and deductible.

Services: 61,965
Beneficiaries: 39,553
Providers billing it: 170
Total allowed: $237,326

What Medicare pays for CPT 82945

Across 61,965 services billed by 170 providers to 39,553 beneficiaries, Medicare allowed an average of $3.83 per service. That is 1.6 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 82945

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	32,237	21,589	$3.83	69
Clinical Laboratory	21,096	11,812	$3.83	69
Physician Assistant	4,176	3,373	$3.82	14
Nurse Practitioner	2,392	1,835	$3.84	10
Obstetrics & Gynecology	1,886	799	$3.82	3
Internal Medicine	73	54	$3.85	1
Rheumatology	48	35	$3.85	2
Nephrology	41	40	$3.85	1
Pathology	16	16	$3.85	1

82945 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
California	9,954	$3.84	$3.85	9
Georgia	8,238	$3.82	$3.85	9
Missouri	5,727	$3.85	$3.85	5
Oklahoma	5,313	$3.81	$3.85	9
Massachusetts	4,572	$3.85	$3.85	15
Delaware	4,117	$3.83	$3.85	7
Alabama	3,540	$3.82	$3.85	8
Arkansas	3,319	$3.84	$3.85	1
Florida	2,514	$3.81	$3.85	8
Mississippi	1,978	$3.84	$3.85	5
Maine	1,942	$3.83	$3.85	5
Alaska	1,629	$3.82	$3.85	11
New Jersey	1,269	$3.85	$3.85	4
Tennessee	1,199	$3.84	$3.85	11
North Carolina	949	$3.83	$3.85	6
Illinois	871	$3.85	$3.85	2
Ohio	763	$3.85	$3.85	8
Louisiana	743	$3.85	$3.85	5
Texas	636	$3.84	$3.85	9
West Virginia	530	$3.76	$3.85	1
Minnesota	404	$3.85	$3.85	2
Pennsylvania	334	$3.80	$3.85	3
Arizona	282	$3.84	$3.85	3
Virginia	279	$3.84	$3.85	2
New Hampshire	206	$3.85	$3.85	1
New York	200	$3.85	$3.85	4
Nevada	108	$3.85	$3.85	2
Washington	77	$3.81	$3.85	3
Kansas	64	$3.85	$3.85	2
Hawaii	42	$3.85	$3.85	2
Iowa	39	$3.85	$3.85	1
Utah	37	$3.85	$3.85	2
Wisconsin	28	$3.71	$3.85	1
Maryland	18	$3.85	$3.85	1
New Mexico	18	$3.85	$3.85	1
Oregon	14	$3.85	$3.85	1
North Dakota	12	$3.85	$3.85	1

Related codes

82947Blood glucose (sugar) level$3.83
82962Blood glucose (sugar) test performed by hand-held instrument$3.18
82977Glutamyltransferase (liver enzyme) level$7.03
82985Glycated protein level$16.27
82948Blood glucose (sugar) measurement$4.90
82955G6pd (enzyme) level$9.50
82950Blood glucose (sugar) level after receiving dose of glucose$4.53
82978Glutathione (protein) level$15.12
82941Gastrin (gi tract hormone) level$17.17
82951Blood glucose (sugar) tolerance test$12.59
82952Blood glucose (sugar) tolerance test$3.84

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.