RxDoctor Payments Data

CPT 82955

G6pd (enzyme) level

$9.50Medicare-allowed amount per service, averaged across 19,017 services
Providers submitted
$98.29

Asking price, not received

Medicare allowed
$9.50

The fee schedule figure

Medicare paid
$9.50

Balance is patient coinsurance

Providers submitted an average of $98.29 for this code and Medicare allowed $9.5010.3× 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 $9.50 (100%); the rest is the patient’s coinsurance and deductible.

Services
19,017

Medicare Part B, 2024

Beneficiaries
18,440
Providers billing it
80
Total allowed
$180,662

Services × allowed amount

What Medicare pays for CPT 82955

Across 19,017 services billed by 80 providers to 18,440 beneficiaries, Medicare allowed an average of $9.50 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 82955

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory18,99318,417$9.5079
Pathology2423$9.511

82955 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
New Jersey4,130$9.51$9.517
North Carolina2,967$9.51$9.512
California2,047$9.50$9.517
Texas1,745$9.51$9.518
Florida1,690$9.51$9.515
New York966$9.51$9.514
Illinois802$9.51$9.511
Georgia601$9.51$9.511
Arizona563$9.51$9.513
Tennessee519$9.42$9.513
Massachusetts434$9.51$9.512
Ohio379$9.49$9.516
Alabama363$9.51$9.512
Kansas316$9.53$9.514
Minnesota238$9.51$9.512
Washington205$9.51$9.512
Pennsylvania182$9.51$9.513
Maryland149$9.51$9.512
Utah138$9.51$9.511
Nevada128$9.51$9.512
Oklahoma98$9.43$9.512
Colorado85$9.51$9.512
Hawaii74$9.44$9.512
Wisconsin70$9.37$9.511
Virginia61$9.51$9.512
New Mexico20$9.07$9.511
Puerto Rico19$8.91$9.511
Oregon14$9.51$9.511
Indiana14$9.51$9.511

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.