RxDoctor Payments Data

CPT 87102

Fungal culture (mold or yeast)

$8.23Medicare-allowed amount per service, averaged across 33,762 services
Providers submitted
$79.12

Asking price, not received

Medicare allowed
$8.23

The fee schedule figure

Medicare paid
$8.23

Balance is patient coinsurance

Providers submitted an average of $79.12 for this code and Medicare allowed $8.239.6× 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 $8.23 (100%); the rest is the patient’s coinsurance and deductible.

Services
33,762

Medicare Part B, 2024

Beneficiaries
28,309
Providers billing it
135
Total allowed
$277,861

Services × allowed amount

What Medicare pays for CPT 87102

Across 33,762 services billed by 135 providers to 28,309 beneficiaries, Medicare allowed an average of $8.23 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 87102

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory32,39527,395$8.23113
Pathology449250$8.217
Obstetrics & Gynecology374278$8.244
Urology210133$8.223
Otolaryngology163124$8.241
Hematology-Oncology4133$8.241
Dermatology3332$8.242
Nurse Practitioner3120$8.241
Physician Assistant3013$8.241
Ophthalmology2419$8.241
Family Practice1212$8.241

87102 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
California6,532$8.22$8.2426
North Carolina5,527$8.23$8.243
Florida3,340$8.22$8.246
New Jersey2,370$8.24$8.247
Texas1,901$8.24$8.248
Arizona1,596$8.23$8.245
New York1,261$8.23$8.245
Illinois1,083$8.24$8.243
Tennessee999$8.23$8.243
Minnesota965$8.22$8.245
Kansas880$8.21$8.244
Massachusetts876$8.22$8.245
Oklahoma659$8.19$8.243
Pennsylvania608$8.24$8.246
Virginia595$8.20$8.244
Mississippi567$8.24$8.242
Georgia513$8.24$8.241
Nevada442$8.22$8.241
Wisconsin441$8.12$8.243
Ohio377$8.18$8.246
Hawaii312$8.24$8.242
Utah231$8.21$8.241
Maryland214$8.24$8.241
Missouri207$8.24$8.241
Iowa186$8.24$8.243
New Mexico172$8.16$8.241
South Dakota144$8.24$8.242
Alabama140$8.16$8.244
Oregon122$8.19$8.241
Nebraska87$8.24$8.241
Maine78$8.24$8.241
Washington74$8.24$8.242
Indiana67$8.24$8.241
Michigan66$8.15$8.243
North Dakota40$8.24$8.241
Kentucky39$8.24$8.241
Colorado29$8.24$8.241
Connecticut11$8.24$8.241
Delaware11$8.24$8.241

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.