How much does Medicare pay for CPT 84182?

Medicare allowed an average of $28.51 per service and paid $28.51 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $130.59, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 84182?

Protein measurement, immunological probe for band identification. It was billed 64,598 times to 14,057 Medicare beneficiaries by 63 providers in 2024.

Does 84182 pay differently in an office than a hospital?

Yes. The allowed amount averaged $28.52 in an office setting and $17.05 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 84182 most?

Clinical Laboratory, with 64,569 services from 62 clinicians. Next are Pathology.

CPT 84182

Protein measurement, immunological probe for band identification

$28.51Medicare-allowed amount per service, averaged across 64,598 services

Providers submitted

$130.59

Asking price, not received

Medicare allowed

$28.51

The fee schedule figure

Medicare paid

$28.51

Balance is patient coinsurance

Providers submitted an average of $130.59 for this code and Medicare allowed $28.51 — 4.6× 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 $28.51 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $28.52
Hospital / facility: $17.05

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 64,569 services were billed in an office setting and 29 in a facility.

Services: 64,598
Beneficiaries: 14,057
Providers billing it: 63
Total allowed: $1,841,689

What Medicare pays for CPT 84182

Across 64,598 services billed by 63 providers to 14,057 beneficiaries, Medicare allowed an average of $28.51 per service. That is 4.6 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 84182

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	64,569	14,041	$28.52	62
Pathology	29	16	$17.05	1

84182 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	17,014	$28.37	$28.63	6
Florida	9,862	$28.60	$28.63	3
Texas	7,054	$28.57	$28.56	6
New Jersey	6,456	$28.63	$28.63	3
Georgia	4,079	$28.63	$28.63	1
Massachusetts	2,693	$28.63	$28.63	2
Kansas	2,418	$28.63	$28.63	1
Illinois	2,120	$28.63	$28.63	1
Missouri	1,681	$28.42	$28.63	1
Arizona	1,288	$28.50	$28.63	2
New York	1,063	$28.63	$28.63	2
Utah	1,058	$28.62	$28.63	2
Virginia	1,011	$27.91	$28.63	4
Pennsylvania	992	$28.63	$28.63	4
Maryland	883	$28.63	$28.63	2
Minnesota	757	$28.53	$28.63	3
Oklahoma	671	$28.63	$28.63	2
Wisconsin	641	$28.46	$28.63	3
Ohio	616	$27.70	$28.63	3
Tennessee	587	$28.31	$28.63	2
Washington	528	$28.62	$28.62	1
Nevada	360	$28.62	$28.62	1
Colorado	276	$28.63	$28.63	3
North Carolina	220	$28.63	$28.63	1
Indiana	108	$28.62	$28.62	1
New Mexico	62	$28.63	$28.63	1
Hawaii	55	$28.63	$28.63	1
Iowa	45	$28.06	$28.63	1

Related codes

84153Psa (prostate specific antigen) measurement$17.98
84100Phosphate level$4.63
84156Total protein level$3.59
84165Protein measurement$13.51
84155Total protein level$3.55
84154Psa (prostate specific antigen) measurement$18.00
84132Blood potassium level$4.63
84166Protein measurement$17.39
84144Progesterone (reproductive hormone) level$20.40
84146Prolactin (milk producing hormone) level$18.95
84134Prealbumin (protein) level$14.28
84133Urine potassium level$4.64

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.