How much does Medicare pay for CPT 83001?

Medicare allowed an average of $18.16 per service and paid $18.16 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $100.73, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 83001?

Gonadotropin, follicle stimulating (reproductive hormone) level. It was billed 229,541 times to 181,328 Medicare beneficiaries by 721 providers in 2024.

Which specialty bills 83001 most?

Clinical Laboratory, with 193,025 services from 324 clinicians. Next are Urology, Endocrinology, Internal Medicine.

CPT 83001

Gonadotropin, follicle stimulating (reproductive hormone) level

$18.16Medicare-allowed amount per service, averaged across 229,541 services

Providers submitted

$100.73

Asking price, not received

Medicare allowed

$18.16

The fee schedule figure

Medicare paid

$18.16

Balance is patient coinsurance

Providers submitted an average of $100.73 for this code and Medicare allowed $18.16 — 5.5× 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 $18.16 (100%); the rest is the patient’s coinsurance and deductible.

Services: 229,541
Beneficiaries: 181,328
Providers billing it: 721
Total allowed: $4,168,465

What Medicare pays for CPT 83001

Across 229,541 services billed by 721 providers to 181,328 beneficiaries, Medicare allowed an average of $18.16 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 83001

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	193,025	155,915	$18.18	324
Urology	9,370	6,263	$18.15	43
Endocrinology	5,492	3,738	$18.08	73
Internal Medicine	5,229	3,979	$18.18	53
Family Practice	3,575	2,716	$18.05	48
Nurse Practitioner	2,984	2,217	$17.97	78
Pathology	2,458	2,152	$18.03	26
Obstetrics & Gynecology	1,510	1,087	$18.02	24
Hematology-Oncology	1,276	598	$18.16	6
General Practice	1,045	392	$18.21	2
Rheumatology	820	274	$18.11	2
Physician Assistant	752	566	$17.96	24
Cardiology	559	399	$18.21	3
Nephrology	380	185	$18.16	1
Medical Oncology	261	174	$18.21	1

83001 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	38,321	$18.18	$18.21	103
Texas	31,632	$18.17	$18.21	69
Florida	30,564	$18.19	$18.21	64
New Jersey	24,023	$18.19	$18.21	34
North Carolina	14,870	$18.16	$18.21	35
New York	12,244	$18.18	$18.21	77
Arizona	11,515	$18.14	$18.21	13
Alabama	7,348	$18.15	$18.21	17
Tennessee	7,132	$18.08	$18.21	39
Massachusetts	6,966	$18.20	$18.21	9
Ohio	6,300	$18.16	$18.21	12
Georgia	4,600	$18.17	$18.21	10
Kansas	4,147	$18.21	$18.21	5
Illinois	3,527	$18.15	$18.21	15
Oklahoma	3,181	$18.12	$18.21	20
Washington	2,464	$18.19	$18.21	9
Maryland	2,420	$18.16	$18.21	9
North Dakota	2,225	$18.21	$18.21	4
Colorado	2,094	$18.19	$18.21	6
Pennsylvania	1,927	$18.14	$18.21	10
Oregon	1,305	$18.03	$18.21	29
Nevada	1,299	$18.17	$18.21	5
Louisiana	1,280	$18.12	$18.21	13
South Carolina	917	$17.90	$18.21	9
New Mexico	835	$18.04	$18.21	1
Michigan	801	$18.06	$18.21	12
Wisconsin	659	$17.61	$18.21	6
Virginia	625	$18.03	$18.21	7
Missouri	532	$18.18	$18.21	5
Minnesota	461	$18.04	$18.21	9
Utah	425	$17.99	$18.21	9
Arkansas	387	$18.00	$18.21	11
Hawaii	376	$18.07	$18.21	2
Indiana	371	$17.94	$18.21	10
Puerto Rico	367	$17.68	$18.21	5
Nebraska	309	$18.06	$18.21	3
Kentucky	269	$18.06	$18.21	3
Mississippi	140	$17.81	$18.21	5
Iowa	140	$17.96	$18.21	5
South Dakota	127	$18.10	$18.21	2
Idaho	122	$18.21	$18.21	2
Connecticut	109	$17.74	$18.21	3
Maine	61	$18.21	$18.21	1
Rhode Island	57	$18.01	$18.21	1
U.S. Virgin Islands	30	$18.21	$18.21	1
Montana	23	$17.68	$18.21	1
West Virginia	14	$18.21	$18.21	1

Related codes

83036Hemoglobin a1c level$9.49
83090Homocysteine (amino acid) level$17.55
83002Gonadotropin, luteinizing (reproductive hormone) level$18.11
83010Haptoglobin (serum protein) level$12.31
83013Breath test analysis for helicobacter pylori$65.81
83037Hemoglobin a1c level$9.30
83021Hemoglobin analysis and measurement$17.69
83069Urine hemoglobin level$3.85
83014Administration of drug for helicobacter pylori$7.69
83020Hemoglobin analysis and measurement$14.03
83003Human growth hormone level$16.31
83018Heavy metal level$19.57

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.