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CPT 86644

Analysis for antibody to cytomegalovirus (cmv)

$14.04Medicare-allowed amount per service, averaged across 15,637 services
Providers submitted
$110.59

Asking price, not received

Medicare allowed
$14.04

The fee schedule figure

Medicare paid
$14.04

Balance is patient coinsurance

Providers submitted an average of $110.59 for this code and Medicare allowed $14.04 — 7.9× 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 $14.04 (100%); the rest is the patient’s coinsurance and deductible.

Services
15,637

Medicare Part B, 2024

Beneficiaries
14,028
Providers billing it
90
Total allowed
$219,543

Services × allowed amount

What Medicare pays for CPT 86644

Across 15,637 services billed by 90 providers to 14,028 beneficiaries, Medicare allowed an average of $14.04 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 86644

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory15,43813,851$14.0485
Rheumatology8773$14.101
Physician Assistant5853$14.101
Pathology4138$14.102
Hematology-Oncology1313$14.101

86644 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
New Jersey4,547$14.09$14.106
California1,816$14.10$14.1015
Florida1,661$14.03$14.094
North Carolina1,227$14.10$14.103
Texas1,111$14.09$14.107
Arizona963$14.03$14.103
New York585$14.10$14.105
Minnesota547$13.19$14.102
Ohio512$14.10$14.105
Massachusetts290$14.10$14.102
Georgia282$14.10$14.101
Tennessee280$14.06$14.102
Kansas250$14.10$14.104
Illinois250$14.10$14.102
Alabama224$14.10$14.101
Pennsylvania165$14.10$14.104
Washington153$14.08$14.102
Wisconsin153$13.73$14.102
Maryland82$14.10$14.101
Virginia81$13.84$14.102
Oklahoma73$13.93$14.103
Hawaii68$13.89$14.102
Nevada62$14.10$14.101
Colorado61$14.10$14.101
Michigan50$14.10$14.102
Oregon48$14.10$14.102
New Mexico34$14.10$14.101
South Dakota17$14.10$14.101
Kentucky12$13.07$14.101
Utah11$11.77$14.101
Nebraska11$14.10$14.101
Rhode Island11$14.10$14.101

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.