# CPT 95052: Photo patch test(s)

Medicare CPT 95052 pays $6.01 in a non-facility setting and $6.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $5.05 in Arkansas to $7.06 in District of Columbia, a 40% spread.

Web page: https://www.med-reveal.com/rates/95052-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Allergy & Immunology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $6.01 |
| National facility | $6.01 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $7.06 | $7.06 |
| California | $6.90 | $6.90 |
| New York | $6.79 | $6.79 |
| New Jersey | $6.76 | $6.76 |
| Washington | $6.74 | $6.74 |
| Massachusetts | $6.67 | $6.67 |
| Hawaii | $6.65 | $6.65 |
| Connecticut | $6.52 | $6.52 |
| Florida | $6.35 | $6.35 |
| Colorado | $6.30 | $6.30 |
| Maryland | $6.28 | $6.28 |
| Alaska | $6.23 | $6.23 |
| Oregon | $6.23 | $6.23 |
| New Hampshire | $6.20 | $6.20 |
| Rhode Island | $6.16 | $6.16 |
| Illinois | $6.13 | $6.13 |
| Puerto Rico | $6.07 | $6.07 |
| Virgin Islands | $6.07 | $6.07 |
| Montana | $6.01 | $6.01 |
| Nevada | $5.96 | $5.96 |
| Minnesota | $5.94 | $5.94 |
| Wyoming | $5.93 | $5.93 |
| Pennsylvania | $5.92 | $5.92 |
| Delaware | $5.91 | $5.91 |
| Texas | $5.90 | $5.90 |
| Georgia | $5.82 | $5.82 |
| Virginia | $5.82 | $5.82 |
| North Dakota | $5.81 | $5.81 |
| Michigan | $5.80 | $5.80 |
| Arizona | $5.79 | $5.79 |
| South Dakota | $5.79 | $5.79 |
| Vermont | $5.79 | $5.79 |
| Maine | $5.64 | $5.64 |
| Utah | $5.64 | $5.64 |
| New Mexico | $5.61 | $5.61 |
| Louisiana | $5.54 | $5.54 |
| Missouri | $5.54 | $5.54 |
| Wisconsin | $5.54 | $5.54 |
| South Carolina | $5.53 | $5.53 |
| Ohio | $5.52 | $5.52 |
| North Carolina | $5.51 | $5.51 |
| Indiana | $5.43 | $5.43 |
| West Virginia | $5.41 | $5.41 |
| Idaho | $5.38 | $5.38 |
| Nebraska | $5.37 | $5.37 |
| Kentucky | $5.35 | $5.35 |
| Tennessee | $5.34 | $5.34 |
| Iowa | $5.33 | $5.33 |
| Oklahoma | $5.33 | $5.33 |
| Kansas | $5.30 | $5.30 |
| Alabama | $5.16 | $5.16 |
| Mississippi | $5.14 | $5.14 |
| Arkansas | $5.05 | $5.05 |

## Related codes

- 95004: Percutaneous allergy skin tests, immediate type, specific antigens — https://www.med-reveal.com/rates/95004-cpt-fee-schedule
- 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

Commercial negotiated rates for 95052 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