# CPT 95004: Percutaneous allergy skin tests, immediate type, specific antigens

Medicare CPT 95004 pays $3.67 in a non-facility setting and $3.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $3.09 in Arkansas to $4.26 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/95004-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Allergy & Immunology, Clinic/Center

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $3.67 |
| National facility | $3.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $4.26 | $4.26 |
| New York | $4.16 | $4.16 |
| New Jersey | $4.10 | $4.10 |
| California | $4.08 | $4.08 |
| Washington | $4.04 | $4.04 |
| Florida | $4.00 | $4.00 |
| Massachusetts | $4.00 | $4.00 |
| Connecticut | $3.98 | $3.98 |
| Hawaii | $3.95 | $3.95 |
| Alaska | $3.89 | $3.89 |
| Illinois | $3.88 | $3.88 |
| Maryland | $3.84 | $3.84 |
| Colorado | $3.80 | $3.80 |
| New Hampshire | $3.76 | $3.76 |
| Oregon | $3.75 | $3.75 |
| Rhode Island | $3.74 | $3.74 |
| Puerto Rico | $3.70 | $3.70 |
| Virgin Islands | $3.70 | $3.70 |
| Montana | $3.67 | $3.67 |
| Pennsylvania | $3.64 | $3.64 |
| Michigan | $3.63 | $3.63 |
| Nevada | $3.62 | $3.62 |
| Delaware | $3.61 | $3.61 |
| Texas | $3.61 | $3.61 |
| Georgia | $3.60 | $3.60 |
| Wyoming | $3.59 | $3.59 |
| Arizona | $3.53 | $3.53 |
| Minnesota | $3.53 | $3.53 |
| Virginia | $3.52 | $3.52 |
| New Mexico | $3.49 | $3.49 |
| North Dakota | $3.48 | $3.48 |
| Vermont | $3.48 | $3.48 |
| Utah | $3.46 | $3.46 |
| South Dakota | $3.45 | $3.45 |
| Louisiana | $3.43 | $3.43 |
| Maine | $3.42 | $3.42 |
| Missouri | $3.42 | $3.42 |
| Ohio | $3.42 | $3.42 |
| West Virginia | $3.42 | $3.42 |
| South Carolina | $3.40 | $3.40 |
| North Carolina | $3.35 | $3.35 |
| Wisconsin | $3.32 | $3.32 |
| Kentucky | $3.31 | $3.31 |
| Indiana | $3.28 | $3.28 |
| Oklahoma | $3.28 | $3.28 |
| Idaho | $3.26 | $3.26 |
| Tennessee | $3.25 | $3.25 |
| Nebraska | $3.23 | $3.23 |
| Iowa | $3.22 | $3.22 |
| Kansas | $3.22 | $3.22 |
| Mississippi | $3.17 | $3.17 |
| Alabama | $3.15 | $3.15 |
| Arkansas | $3.09 | $3.09 |

## Related codes

- 95012: Nitric oxide expired gas determination — https://www.med-reveal.com/rates/95012-cpt-fee-schedule
- 95017: Allergy skin testing, percutaneous, venom — https://www.med-reveal.com/rates/95017-cpt-fee-schedule
- 95018: Allergy skin testing, percutaneous, drug or biologic — https://www.med-reveal.com/rates/95018-cpt-fee-schedule
- 95024: Intracutaneous allergy skin tests, immediate type — https://www.med-reveal.com/rates/95024-cpt-fee-schedule
- 95027: Intracutaneous skin tests, allergen extracts, delayed type — https://www.med-reveal.com/rates/95027-cpt-fee-schedule
- 95028: Intracutaneous skin tests, delayed type reaction, allergen extracts — https://www.med-reveal.com/rates/95028-cpt-fee-schedule
- 95044: Patch or application test(s) — https://www.med-reveal.com/rates/95044-cpt-fee-schedule
- 95052: Photo patch test(s) — https://www.med-reveal.com/rates/95052-cpt-fee-schedule

Commercial negotiated rates for 95004 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules