How much does Medicare pay for CPT 87305?

Medicare allowed an average of $11.72 per service and paid $11.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $190.72, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 87305?

Detection test by immunoassay technique for aspergillus (fungus). It was billed 3,303 times to 3,074 Medicare beneficiaries by 50 providers in 2024.

Which specialty bills 87305 most?

Clinical Laboratory, with 3,303 services from 50 clinicians.

CPT 87305

Detection test by immunoassay technique for aspergillus (fungus)

$11.72Medicare-allowed amount per service, averaged across 3,303 services

Providers submitted

$190.72

Asking price, not received

Medicare allowed

$11.72

The fee schedule figure

Medicare paid

$11.72

Balance is patient coinsurance

Providers submitted an average of $190.72 for this code and Medicare allowed $11.72 — 16.3× 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 $11.72 (100%); the rest is the patient’s coinsurance and deductible.

Services: 3,303
Beneficiaries: 3,074
Providers billing it: 50
Total allowed: $38,711

What Medicare pays for CPT 87305

Across 3,303 services billed by 50 providers to 3,074 beneficiaries, Medicare allowed an average of $11.72 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 87305

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	3,303	3,074	$11.72	50

87305 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	704	$11.73	$11.74	6
North Carolina	407	$11.74	$11.74	1
Minnesota	299	$11.70	$11.74	2
New Jersey	264	$11.74	$11.74	3
Florida	251	$11.71	$11.74	3
Texas	189	$11.74	$11.74	6
Tennessee	152	$11.67	$11.74	3
Washington	138	$11.74	$11.74	3
Kansas	129	$11.74	$11.74	1
Arizona	119	$11.66	$11.74	2
Utah	98	$11.74	$11.74	1
Georgia	94	$11.74	$11.74	1
New York	85	$11.74	$11.74	2
Illinois	48	$11.74	$11.74	1
Wisconsin	47	$11.74	$11.74	2
Virginia	46	$11.74	$11.74	1
Massachusetts	42	$11.74	$11.74	2
New Mexico	37	$11.46	$11.74	1
Ohio	36	$11.74	$11.74	2
Oklahoma	29	$11.74	$11.74	2
Nevada	23	$11.74	$11.74	1
Maryland	22	$11.74	$11.74	1
Alabama	16	$11.74	$11.74	1
Hawaii	15	$11.74	$11.74	1
Pennsylvania	13	$11.74	$11.74	1

Related codes

87340Detection test by immunoassay technique for hepatitis b surface antige$10.10
87389Detection test by immunoassay technique for hiv-1 antigen and hiv-1 an$23.57
87324Detection test by immunoassay technique for clostridium difficile toxi$11.73
87338Detection test by immunoassay technique for helicobacter pylori (gi tr$14.03
87329Detection test by immunoassay technique for giardia (intestinal parasi$11.73
87328Detection test by immunoassay technique for cryptosporidium (parasite)$13.52
87350Detection test by immunoassay technique for hepatitis be surface antig$11.29
87385Detection test by immunoassay technique for histoplasma capsulatum (pa$12.96
87341Detection test by immunoassay technique for hepatitis b surface antige$10.06

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.