# CPT 95056: Photo tests

Medicare CPT 95056 pays $51.77 in a non-facility setting and $51.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.24 in Arkansas to $60.94 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/95056-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Allergy & Immunology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $51.77 |
| National facility | $51.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $60.94 | $60.94 |
| California | $60.83 | $60.83 |
| Washington | $58.79 | $58.79 |
| Hawaii | $58.49 | $58.49 |
| New Jersey | $58.27 | $58.27 |
| Massachusetts | $57.98 | $57.98 |
| New York | $57.92 | $57.92 |
| Connecticut | $55.85 | $55.85 |
| Colorado | $54.90 | $54.90 |
| Alaska | $54.79 | $54.79 |
| Oregon | $54.32 | $54.32 |
| Maryland | $54.00 | $54.00 |
| New Hampshire | $53.78 | $53.78 |
| Rhode Island | $53.39 | $53.39 |
| Minnesota | $52.78 | $52.78 |
| Florida | $52.58 | $52.58 |
| Puerto Rico | $52.32 | $52.32 |
| Virgin Islands | $52.32 | $52.32 |
| Montana | $51.77 | $51.77 |
| Nevada | $51.71 | $51.71 |
| Wyoming | $51.60 | $51.60 |
| North Dakota | $51.37 | $51.37 |
| South Dakota | $51.33 | $51.33 |
| Delaware | $51.09 | $51.09 |
| Texas | $50.93 | $50.93 |
| Vermont | $50.93 | $50.93 |
| Pennsylvania | $50.77 | $50.77 |
| Virginia | $50.71 | $50.71 |
| Illinois | $50.66 | $50.66 |
| Arizona | $50.09 | $50.09 |
| Georgia | $49.55 | $49.55 |
| Maine | $49.25 | $49.25 |
| Wisconsin | $49.16 | $49.16 |
| Michigan | $48.93 | $48.93 |
| Utah | $48.64 | $48.64 |
| North Carolina | $48.11 | $48.11 |
| South Carolina | $47.79 | $47.79 |
| Indiana | $47.70 | $47.70 |
| New Mexico | $47.66 | $47.66 |
| Missouri | $47.55 | $47.55 |
| Nebraska | $47.42 | $47.42 |
| Louisiana | $47.36 | $47.36 |
| Idaho | $47.33 | $47.33 |
| Ohio | $47.33 | $47.33 |
| Iowa | $47.02 | $47.02 |
| Tennessee | $46.81 | $46.81 |
| Kansas | $46.53 | $46.53 |
| Oklahoma | $46.15 | $46.15 |
| Kentucky | $46.04 | $46.04 |
| West Virginia | $45.36 | $45.36 |
| Alabama | $45.09 | $45.09 |
| Mississippi | $44.49 | $44.49 |
| Arkansas | $44.24 | $44.24 |

## 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 95056 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