How much does Medicare pay for CPT 83002?

Medicare allowed an average of $18.11 per service and paid $18.11 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $96.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 83002?

Gonadotropin, luteinizing (reproductive hormone) level. It was billed 172,357 times to 139,607 Medicare beneficiaries by 608 providers in 2024.

Which specialty bills 83002 most?

Clinical Laboratory, with 140,178 services from 293 clinicians. Next are Urology, Internal Medicine, Endocrinology.

CPT 83002

Gonadotropin, luteinizing (reproductive hormone) level

$18.11Medicare-allowed amount per service, averaged across 172,357 services

Providers submitted

$96.26

Asking price, not received

Medicare allowed

$18.11

The fee schedule figure

Medicare paid

$18.11

Balance is patient coinsurance

Providers submitted an average of $96.26 for this code and Medicare allowed $18.11 — 5.3× 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 $18.11 (100%); the rest is the patient’s coinsurance and deductible.

Services: 172,357
Beneficiaries: 139,607
Providers billing it: 608
Total allowed: $3,121,385

What Medicare pays for CPT 83002

Across 172,357 services billed by 608 providers to 139,607 beneficiaries, Medicare allowed an average of $18.11 per service. That is 1.2 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 83002

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	140,178	117,118	$18.12	293
Urology	9,577	6,460	$18.09	50
Internal Medicine	5,600	4,214	$18.12	52
Endocrinology	5,105	3,418	$18.02	72
Family Practice	2,354	1,851	$18.02	29
Pathology	2,148	1,892	$18.00	22
Hematology-Oncology	1,274	600	$18.09	6
Nurse Practitioner	1,260	1,111	$17.94	37
General Practice	1,036	386	$18.15	2
Rheumatology	817	272	$18.05	2
Cardiology	563	400	$18.15	3
Obstetrics & Gynecology	547	514	$18.00	11
Physician Assistant	515	393	$17.96	16
Nephrology	380	185	$18.10	1
Medical Oncology	260	173	$18.15	1

83002 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	35,413	$18.12	$18.15	105
Florida	22,874	$18.14	$18.15	58
New Jersey	21,691	$18.13	$18.15	32
Texas	18,111	$18.12	$18.15	49
New York	11,826	$18.12	$18.15	79
North Carolina	9,599	$18.13	$18.15	13
Arizona	7,127	$18.08	$18.15	13
Massachusetts	5,707	$18.14	$18.15	9
Ohio	4,810	$18.10	$18.15	13
Tennessee	4,801	$17.98	$18.15	37
Alabama	4,409	$18.11	$18.15	9
Illinois	2,557	$18.08	$18.15	14
Georgia	2,488	$18.14	$18.15	6
Kansas	2,349	$18.15	$18.15	5
Washington	1,865	$18.11	$18.15	9
North Dakota	1,795	$18.15	$18.15	1
Maryland	1,659	$18.10	$18.15	9
Pennsylvania	1,655	$18.11	$18.15	11
Colorado	1,546	$18.15	$18.15	4
Louisiana	1,407	$18.07	$18.15	13
Nevada	1,096	$18.12	$18.15	4
Oklahoma	1,028	$17.99	$18.15	10
South Carolina	893	$17.88	$18.15	9
Virginia	648	$17.98	$18.15	9
Michigan	613	$17.97	$18.15	11
Wisconsin	503	$17.53	$18.15	4
Missouri	495	$18.12	$18.15	4
Oregon	420	$17.89	$18.15	3
Utah	414	$18.04	$18.15	9
Arkansas	367	$17.89	$18.15	13
New Mexico	327	$17.86	$18.15	2
Hawaii	305	$18.09	$18.15	2
Kentucky	250	$17.98	$18.15	3
Indiana	235	$17.93	$18.15	8
Mississippi	223	$18.05	$18.15	4
Puerto Rico	210	$17.62	$18.15	3
Minnesota	192	$18.01	$18.15	4
Connecticut	71	$17.92	$18.15	3
Iowa	68	$17.88	$18.15	3
Alaska	63	$17.60	$18.15	3
Nebraska	62	$17.68	$18.15	1
Rhode Island	50	$17.91	$18.15	1
Maine	48	$18.15	$18.15	2
Idaho	30	$18.15	$18.15	1
South Dakota	30	$18.15	$18.15	1
Montana	15	$17.35	$18.15	1
West Virginia	12	$18.05	$18.15	1

Related codes

83036Hemoglobin a1c level$9.49
83090Homocysteine (amino acid) level$17.55
83001Gonadotropin, follicle stimulating (reproductive hormone) level$18.16
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.