Procedure · Updated Aug 1, 2026

Allergy testing: CPT code and Medicare rate

Skin prick testing to identify specific triggers behind allergic rhinitis, asthma, eczema, or suspected food allergy.

Also called: skin prick test, allergy skin test, scratch test.

Usually billed as

95004

Office (non-facility): $3.67
Facility: $3.67

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs—open the code page for the locality breakdown.

This code is billed per test administered, so a panel covering many allergens produces a multiple of the single-test amount.

Common questions Copy link

Allergy testing: which code is it?

95004. Skin prick testing to identify specific triggers behind allergic rhinitis, asthma, eczema, or suspected food allergy.

Allergy testing: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $3.67 in an office (non-facility) setting and $3.67 in a facility setting for 95004. Your local amount differs—the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Allergy testing: what else affects the billing?

This code is billed per test administered, so a panel covering many allergens produces a multiple of the single-test amount.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

Keep exploring Copy link

All procedures How Medicare pays Office vs. facility rates Check a medical bill

This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim—the correct code always depends on what was actually documented and performed.

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