How much does Medicare pay for CPT 83010?

Medicare allowed an average of $12.31 per service and paid $12.31 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $84.10, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 83010?

Haptoglobin (serum protein) level. It was billed 111,703 times to 88,745 Medicare beneficiaries by 534 providers in 2024.

Which specialty bills 83010 most?

Clinical Laboratory, with 83,874 services from 161 clinicians. Next are Hematology-Oncology, Pathology, Medical Oncology.

CPT 83010

Haptoglobin (serum protein) level

$12.31Medicare-allowed amount per service, averaged across 111,703 services

Providers submitted

$84.10

Asking price, not received

Medicare allowed

$12.31

The fee schedule figure

Medicare paid

$12.31

Balance is patient coinsurance

Providers submitted an average of $84.10 for this code and Medicare allowed $12.31 — 6.8× 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 $12.31 (100%); the rest is the patient’s coinsurance and deductible.

Services: 111,703
Beneficiaries: 88,745
Providers billing it: 534
Total allowed: $1,375,064

What Medicare pays for CPT 83010

Across 111,703 services billed by 534 providers to 88,745 beneficiaries, Medicare allowed an average of $12.31 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 83010

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	83,874	66,385	$12.32	161
Hematology-Oncology	11,262	9,096	$12.29	242
Pathology	10,294	8,099	$12.31	10
Medical Oncology	2,619	2,099	$12.29	63
Rheumatology	1,927	1,528	$12.33	9
Internal Medicine	898	819	$12.27	25
Hematology	280	231	$12.21	6
Nurse Practitioner	248	229	$12.24	10
Hospitalist	178	142	$12.33	2
Physician Assistant	71	69	$12.33	3
Emergency Medicine	29	27	$12.33	2
Gastroenterology	23	21	$12.33	1

83010 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
Florida	18,150	$12.32	$12.33	19
New Jersey	15,964	$12.31	$12.33	16
California	14,639	$12.32	$12.33	33
New York	13,107	$12.31	$12.33	116
North Carolina	8,594	$12.32	$12.33	11
Texas	7,482	$12.31	$12.33	54
Arizona	3,277	$12.31	$12.33	4
Tennessee	2,856	$12.30	$12.33	35
Virginia	2,627	$12.30	$12.33	49
Ohio	2,581	$12.32	$12.33	8
Kansas	2,501	$12.35	$12.33	4
Massachusetts	2,208	$12.33	$12.33	10
Illinois	2,034	$12.31	$12.33	24
Oklahoma	1,895	$12.28	$12.33	3
Maryland	1,799	$12.32	$12.33	29
Alabama	1,429	$12.30	$12.33	16
Georgia	1,322	$12.31	$12.33	6
Washington	1,135	$12.29	$12.33	8
Minnesota	1,094	$12.31	$12.33	7
Pennsylvania	946	$12.33	$12.33	6
Nevada	839	$12.33	$12.33	14
Wisconsin	737	$12.28	$12.33	3
Michigan	642	$12.25	$12.33	9
Arkansas	529	$12.31	$12.33	10
Hawaii	433	$12.26	$12.33	2
Colorado	430	$12.33	$12.33	3
Louisiana	333	$12.33	$12.33	4
Maine	315	$12.33	$12.33	1
Nebraska	295	$12.33	$12.33	1
Oregon	260	$12.29	$12.33	4
Utah	209	$12.33	$12.33	5
Rhode Island	184	$12.28	$12.33	1
Indiana	162	$12.33	$12.33	4
New Mexico	155	$12.26	$12.33	1
Iowa	129	$12.33	$12.33	4
Kentucky	101	$12.33	$12.33	1
South Dakota	87	$12.33	$12.33	2
Mississippi	63	$12.33	$12.33	3
Missouri	59	$12.21	$12.33	1
North Dakota	37	$12.07	$12.33	1
Delaware	37	$12.33	$12.33	1
Connecticut	27	$12.33	$12.33	1

Related codes

83036Hemoglobin a1c level$9.49
83090Homocysteine (amino acid) level$17.55
83001Gonadotropin, follicle stimulating (reproductive hormone) level$18.16
83002Gonadotropin, luteinizing (reproductive hormone) level$18.11
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.