RxDoctor Payments Data

CPT 83527

Insulin measurement, free

$12.66Medicare-allowed amount per service, averaged across 2,569 services
Providers submitted
$110.97

Asking price, not received

Medicare allowed
$12.66

The fee schedule figure

Medicare paid
$12.66

Balance is patient coinsurance

Providers submitted an average of $110.97 for this code and Medicare allowed $12.668.8× 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 $12.66 (100%); the rest is the patient’s coinsurance and deductible.

Services
2,569

Medicare Part B, 2024

Beneficiaries
2,249
Providers billing it
43
Total allowed
$32,524

Services × allowed amount

What Medicare pays for CPT 83527

Across 2,569 services billed by 43 providers to 2,249 beneficiaries, Medicare allowed an average of $12.66 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 83527

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory2,3622,152$12.6641
Internal Medicine20797$12.692

83527 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
North Carolina399$12.66$12.693
California377$12.62$12.698
Arizona245$12.69$12.692
Texas239$12.69$12.695
Florida230$12.63$12.693
New Jersey215$12.67$12.694
Georgia175$12.69$12.691
Tennessee156$12.55$12.692
Utah83$12.69$12.691
Ohio79$12.69$12.691
Michigan74$12.69$12.691
Alabama64$12.69$12.692
Massachusetts57$12.69$12.691
Colorado54$12.69$12.692
Kansas28$12.69$12.692
Illinois24$12.69$12.691
Virginia20$12.69$12.691
Washington19$12.69$12.691
New York19$12.69$12.691
Kentucky12$12.69$12.691

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.