How much does Medicare pay for CPT 84207?

Medicare allowed an average of $27.10 per service and paid $27.10 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $209.26, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 84207?

Vitamin b-6 level. It was billed 85,167 times to 78,513 Medicare beneficiaries by 159 providers in 2024.

Which specialty bills 84207 most?

Clinical Laboratory, with 85,077 services from 156 clinicians. Next are Pathology, Neurology.

CPT 84207

Vitamin b-6 level

$27.10Medicare-allowed amount per service, averaged across 85,167 services

Providers submitted

$209.26

Asking price, not received

Medicare allowed

$27.10

The fee schedule figure

Medicare paid

$27.10

Balance is patient coinsurance

Providers submitted an average of $209.26 for this code and Medicare allowed $27.10 — 7.7× 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 $27.10 (100%); the rest is the patient’s coinsurance and deductible.

Services: 85,167
Beneficiaries: 78,513
Providers billing it: 159
Total allowed: $2,308,026

What Medicare pays for CPT 84207

Across 85,167 services billed by 159 providers to 78,513 beneficiaries, Medicare allowed an average of $27.10 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 84207

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	85,077	78,428	$27.10	156
Pathology	73	68	$27.19	2
Neurology	17	17	$27.54	1

84207 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
North Carolina	14,645	$27.44	$27.54	7
California	13,869	$25.72	$27.52	15
Florida	8,986	$27.52	$27.54	10
New Jersey	5,965	$27.54	$27.54	10
Arizona	4,237	$27.51	$27.54	3
Texas	3,831	$26.13	$27.54	8
Ohio	3,148	$27.49	$27.54	10
Georgia	2,968	$27.53	$27.54	2
New York	2,928	$27.52	$27.54	8
Massachusetts	2,921	$27.53	$27.54	4
Washington	2,187	$27.51	$27.54	5
Kentucky	2,155	$27.54	$27.54	2
Kansas	2,068	$27.55	$27.54	4
Nevada	1,929	$27.54	$27.54	2
Utah	1,841	$27.43	$27.54	4
Illinois	1,730	$27.54	$27.54	1
Tennessee	1,313	$27.43	$27.54	3
Alabama	1,271	$27.48	$27.54	3
Minnesota	1,064	$27.42	$27.54	4
Wisconsin	1,040	$27.48	$27.54	4
Virginia	770	$24.45	$27.54	5
Hawaii	734	$27.46	$27.54	2
Pennsylvania	603	$27.51	$27.54	5
Oregon	569	$27.34	$27.54	3
Maryland	507	$27.54	$27.54	4
Oklahoma	453	$27.54	$27.54	4
Indiana	312	$27.31	$27.54	1
Colorado	304	$27.54	$27.54	3
Michigan	190	$22.61	$27.26	6
New Mexico	159	$27.54	$27.54	1
Puerto Rico	117	$27.35	$27.54	4
Rhode Island	86	$27.54	$27.54	1
South Dakota	83	$27.54	$27.54	3
Maine	45	$27.54	$27.54	1
Iowa	34	$19.29	$27.54	1
Connecticut	21	$27.54	$27.54	1
Louisiana	20	$27.54	$27.54	1
New Hampshire	17	$27.54	$27.54	1
South Carolina	17	$27.54	$27.54	1
U.S. Virgin Islands	15	$27.54	$27.54	1
Idaho	15	$27.54	$27.54	1

Related codes

84270Sex hormone binding globulin (protein) level$21.18
84295Blood sodium level$4.58
84244Renin (kidney enzyme) level$21.41
84238Chemical receptor analysis$35.31
84252Vitamin b-2 (riboflavin) level$19.81
84255Selenium (vitamin) level$24.95
84260Serotonin (hormone) level$30.23
84206Proinsulin (pancreatic hormone) level$26.15

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.