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See a sample rate comparisonCPT 95027 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Icut Allergy Titrate Airborn, Intracutaneous Intradermal Tests Sequential And Incremental With Allergenic Extracts For Airborne Allergens Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Tests
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Allergy and Clinical Immunology Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.68 national non-facility rate (2026) · View Medicare rates for 95027 |
| Medicaid Fee Schedule | $3.775 median of the 8 states in the free preview · View Medicaid rates for 95027 |
National average reimbursement for CPT 95027 by major payers:
$6.57
$6.31
$5.78
$7.14
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CPT 95027
5 of 25 sample ratesHigher to lower in this preview
Clint Anthony
$17.38Published rateClaudine Sinsioco
Inova Health Care Services
$10.27Published rateIllinois Professionals Health Program, LLC
Illinois Professionals Health Progr
$8.55Published rateNicole Shaw
University Physicians Incorporated
$7.03Published rateJocelyn Lorenzo
$3.25Published rate
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See a sample payer proposalCPT 95027 vs. Other Allergy and Clinical Immunology Procedures Codes
The CPT 95027 code is part of the Medicine Services and Procedures services used for Allergy and Clinical Immunology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95027 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95004-CPT | Low | Allergy Skin Tests, Test For Allergies To Pollen Animal Dander Drugs Or Other Substances. The Test Is Performed By Placing A Small Amount Of The Suspected Allergen Under The Skin And Monitoring To See If A Reaction Occurs. |
| 95024-CPT | Low | Allergy Skin Tests, Test For Allergies To Pollen Animal Dander Drugs Or Other Substances. The Test Is Performed By Placing A Small Amount Of The Suspected Allergen Under The Skin And Monitoring To See If A Reaction Occurs. |
| 95027-CPT | Low | Icut Allergy Titrate Airborn, Intracutaneous Intradermal Tests Sequential And Incremental With Allergenic Extracts For Airborne Allergens Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Tests |
| 95028-CPT | Low | Allergy Skin Tests, Test For Allergies To Pollen Animal Dander Drugs Or Other Substances. The Test Is Performed By Placing A Small Amount Of The Suspected Allergen Under The Skin And Monitoring To See If A Reaction Occurs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95027 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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