RxDoctor Payments Data

CPT 83835

Metanephrines level

$16.58Medicare-allowed amount per service, averaged across 34,734 services
Providers submitted
$253.85

Asking price, not received

Medicare allowed
$16.58

The fee schedule figure

Medicare paid
$16.58

Balance is patient coinsurance

Providers submitted an average of $253.85 for this code and Medicare allowed $16.5815.3× 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 $16.58 (100%); the rest is the patient’s coinsurance and deductible.

Services
34,734

Medicare Part B, 2024

Beneficiaries
29,960
Providers billing it
108
Total allowed
$575,890

Services × allowed amount

What Medicare pays for CPT 83835

Across 34,734 services billed by 108 providers to 29,960 beneficiaries, Medicare allowed an average of $16.58 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 83835

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory34,70729,935$16.58107
Pathology2725$16.601

83835 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 Carolina7,982$16.59$16.602
New Jersey4,602$16.59$16.595
California3,563$16.58$16.6011
Florida2,956$16.60$16.605
Texas2,635$16.59$16.609
Arizona1,287$16.55$16.603
Georgia1,277$16.60$16.601
Massachusetts1,167$16.60$16.603
New York931$16.58$16.605
Kansas840$16.60$16.604
Minnesota747$16.58$16.603
Illinois709$16.60$16.603
Washington646$16.58$16.605
Tennessee596$16.55$16.603
Pennsylvania573$16.53$16.605
Wisconsin510$16.52$16.602
Ohio485$16.54$16.606
Maryland469$16.60$16.603
Utah443$16.56$16.602
Alabama369$16.59$16.603
Virginia361$16.48$16.603
Oklahoma349$16.60$16.603
Nevada256$16.59$16.601
Colorado196$16.60$16.602
Oregon170$16.58$16.604
Hawaii132$16.47$16.602
Iowa107$16.60$16.602
Indiana93$16.60$16.601
New Mexico75$16.60$16.601
Kentucky68$16.60$16.601
Rhode Island45$16.60$16.601
Maine41$16.60$16.601
South Dakota26$16.60$16.601
Michigan17$16.60$16.601
Connecticut11$16.60$16.601

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.