RxDoctor Payments Data

CPT 90746

Hepatitis b vaccine, adult dosage (3 dose schedule)

$67.61Medicare-allowed amount per service, averaged across 3,785 services
Providers submitted
$138.20

Asking price, not received

Medicare allowed
$67.61

The fee schedule figure

Medicare paid
$67.61

Balance is patient coinsurance

Providers submitted an average of $138.20 for this code and Medicare allowed $67.612.0× 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 $67.61 (100%); the rest is the patient’s coinsurance and deductible.

Services
3,785

Medicare Part B, 2024

Beneficiaries
2,522
Providers billing it
125
Total allowed
$255,904

Services × allowed amount

What Medicare pays for CPT 90746

Across 3,785 services billed by 125 providers to 2,522 beneficiaries, Medicare allowed an average of $67.61 per service. That is 1.5 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.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills 90746

SpecialtyServicesBeneficiariesAvg allowedProviders
Family Practice1,5461,060$67.4949
Internal Medicine1,388857$68.0541
Nurse Practitioner254188$68.0513
Physician Assistant138109$65.976
Nephrology10066$68.973
Medical Oncology8648$68.172
Hematology-Oncology6647$66.882
Gastroenterology5030$68.972
Allergy/ Immunology3834$57.922
General Practice3727$68.972
Preventive Medicine3018$68.971
Infectious Disease2619$68.971
Certified Clinical Nurse Specialist2619$57.821

90746 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
California885$67.81$68.2131
Texas427$67.87$68.378
Tennessee328$65.40$69.046
New York317$68.75$69.0411
Illinois183$64.05$64.054
Indiana173$68.57$68.986
Pennsylvania145$68.97$68.974
Michigan143$67.89$68.384
Maryland117$68.97$68.975
Georgia112$68.97$68.976
Nevada98$68.27$69.195
Florida83$62.47$62.474
New Jersey79$68.97$68.973
South Carolina71$68.97$68.971
Virginia71$68.97$68.973
Minnesota66$59.98$61.053
Arizona66$67.92$68.993
North Carolina57$68.97$68.972
Missouri54$68.97$68.972
Nebraska46$68.97$68.971
Ohio43$68.97$68.972
Connecticut39$68.97$68.971
Idaho37$68.97$68.972
Alabama28$68.97$68.971
Iowa22$68.97$68.971
Maine20$68.97$68.971
Massachusetts19$68.97$68.971
Colorado16$68.97$68.971
Alaska15$68.97$68.971
Mississippi14$68.97$68.971
Wisconsin11$68.97$68.971

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.