How much does Medicare pay for CPT 82947?

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 $23.16, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82947?

Blood glucose (sugar) level. It was billed 712,014 times to 392,883 Medicare beneficiaries by 3,350 providers in 2024.

Does 82947 pay differently in an office than a hospital?

Yes. The allowed amount averaged $3.83 in an office setting and $3.85 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 82947 most?

Clinical Laboratory, with 399,519 services from 318 clinicians. Next are Family Practice, Internal Medicine, Endocrinology.

CPT 82947

Blood glucose (sugar) level

$3.83Medicare-allowed amount per service, averaged across 712,014 services

Providers submitted

$23.16

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 $23.16 for this code and Medicare allowed $3.83 — 6.0× 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.

Office pays differently to hospital

Office / non-facility: $3.83
Hospital / facility: $3.85

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 711,899 services were billed in an office setting and 115 in a facility.

Services: 712,014
Beneficiaries: 392,883
Providers billing it: 3,350
Total allowed: $2,727,014

What Medicare pays for CPT 82947

Across 712,014 services billed by 3,350 providers to 392,883 beneficiaries, Medicare allowed an average of $3.83 per service. That is 1.8 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 82947

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	399,519	229,160	$3.83	318
Family Practice	99,867	50,215	$3.83	988
Internal Medicine	81,579	39,226	$3.83	695
Endocrinology	41,175	21,929	$3.82	244
Nurse Practitioner	28,020	15,416	$3.82	498
Physician Assistant	10,603	6,539	$3.82	197
Cardiology	7,234	3,824	$3.85	33
General Practice	6,120	2,558	$3.85	50
Rheumatology	5,412	2,936	$3.85	19
Pathology	4,898	4,228	$3.84	37
Nuclear Medicine	3,714	3,389	$3.84	5
Hematology-Oncology	3,292	1,153	$3.84	24
Nephrology	2,560	738	$3.85	11
Obstetrics & Gynecology	2,339	2,033	$3.83	19
Diagnostic Radiology	1,281	1,136	$3.84	7

82947 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	234,606	$3.85	$3.85	352
Texas	65,931	$3.83	$3.84	232
Florida	54,396	$3.84	$3.85	175
North Carolina	39,282	$3.81	$3.82	123
New York	37,102	$3.84	$3.85	243
New Jersey	36,021	$3.82	$3.82	45
Alabama	24,977	$3.81	$3.84	151
Massachusetts	20,754	$3.84	$3.85	201
Ohio	14,702	$3.83	$3.83	47
Illinois	14,657	$3.83	$3.84	129
Georgia	13,872	$3.83	$3.85	119
Michigan	12,457	$3.82	$3.85	118
Minnesota	11,138	$3.83	$3.85	117
South Carolina	11,134	$3.83	$3.85	132
Mississippi	11,072	$3.81	$3.85	125
Arizona	10,241	$3.69	$3.70	31
Virginia	10,026	$3.83	$3.85	74
Tennessee	8,453	$3.82	$3.85	81
Louisiana	8,120	$3.82	$3.85	64
Pennsylvania	6,971	$3.83	$3.85	69
Wisconsin	6,498	$3.77	$3.85	92
Maryland	6,171	$3.83	$3.85	36
Iowa	4,784	$3.82	$3.85	57
Kentucky	4,661	$3.79	$3.85	62
Washington	4,210	$3.77	$3.78	30
Missouri	3,978	$3.82	$3.85	67
Kansas	3,941	$3.83	$3.83	17
Colorado	3,748	$3.81	$3.82	25
Oklahoma	3,422	$3.68	$3.69	23
Arkansas	3,269	$3.81	$3.85	48
Hawaii	3,077	$3.79	$3.85	17
Indiana	3,025	$3.81	$3.85	27
Connecticut	2,338	$3.84	$3.85	46
New Hampshire	2,131	$3.84	$3.85	22
Oregon	1,608	$3.82	$3.85	25
Rhode Island	1,549	$3.83	$3.83	11
New Mexico	1,108	$3.83	$3.84	14
Nevada	862	$3.82	$3.85	7
Utah	828	$3.85	$3.85	18
Nebraska	821	$3.83	$3.85	15
West Virginia	772	$3.78	$3.85	7
U.S. Virgin Islands	471	$3.85	$3.85	3
Guam	445	$3.84	$3.85	1
South Dakota	422	$3.85	$3.85	7
District of Columbia	386	$3.85	$3.85	5
Idaho	315	$3.84	$3.85	6
Wyoming	269	$3.77	$3.85	5
Vermont	267	$3.83	$3.91	10
Maine	216	$3.75	$3.75	4
Puerto Rico	186	$3.75	$3.75	5
Delaware	167	$3.83	$3.85	4
North Dakota	117	$3.83	$3.85	4
Montana	40	$3.85	$3.85	2

Related codes

82962Blood glucose (sugar) test performed by hand-held instrument$3.18
82977Glutamyltransferase (liver enzyme) level$7.03
82985Glycated protein level$16.27
82945Glucose (sugar) level on body fluid$3.83
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.