CPT code 95018: Drug allergy testing, percutaneous and intracutaneous tests2026 Medicare rate & RVUs in Idaho

Reports immediate-reaction skin testing for suspected drug or biologic allergy using percutaneous and/or intracutaneous methods, with interpretation and a report.

CMS RVU26DEffective Oct 1, 2026One payment locality87.9K Medicare services in 2024

In Idaho, Medicare pays $17.74 for 95018 in the office and $5.76 when it’s performed in a hospital or facility.

$17.74Office (non-facility)
$5.76Hospital or facility
−6.8%vs the national office rate ($19.04)

Check a contract rate as a % of Medicare · 95018 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95018 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 95018 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95018 covers

An allergist or other qualified clinician uses percutaneous and/or intracutaneous testing to evaluate a suspected immediate hypersensitivity reaction to a drug or biological product. Testing may be considered when a medication allergy history needs clinical evaluation, such as before deciding whether a patient can receive a needed antibiotic. The code covers a combination of the two skin-test methods; it is specific to drugs and biologicals rather than environmental allergen extracts.

Report the number of tests performed, and retain documentation identifying the agents and test methods, the results, and the clinician’s interpretation and report. Interpretation and reporting are part of the service, rather than separate services for the same tests. Under the Medicare Physician Fee Schedule, payment is based on work, practice expense, and malpractice relative value units; the practice-expense valuation differs between office and facility settings.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Idaho compares for 95018

Across 109 of 109 payment localities, the office rate for 95018 runs from $16.90 in Arkansas to $25.60 in San Benito County, CA. Idaho pays $17.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

95018 in Idaho vs other payment areas
  1. Idaho · this page$17.74
  2. Los Angeles, CA · California$21.69+$3.95
  3. Washington, DC area · District of Columbia$21.83+$4.09
  4. Miami, FL · Florida$20.12+$2.38
  5. Chicago, IL · Illinois$19.57+$1.83
  6. Manhattan, NY · New York$21.81+$4.07
  7. Alaska · Alaska$22.14+$4.40

Other areas in Idaho first, then benchmark localities. Bars start at $0.

Every other payment area

95018 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$17.14$5.74
ArkansasArkansas$16.90$5.71
ArizonaArizona$18.56$5.93
Bakersfield, CACalifornia$20.34$6.07
Chico, CACalifornia$20.31$6.03
El Centro, CACalifornia$20.31$6.03
Fresno, CACalifornia$20.31$6.03
Hanford, CACalifornia$20.31$6.03

95018 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$16.90

$22.96

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95018 office rate range by state
State / territoryOffice rate rangeLocalities
AK$22.141
AL$17.141
AR$16.901
AZ$18.561
CA$20.31–$25.6029
CO$19.921
CT$20.281
DC$21.831
DE$18.861
FL$18.59–$20.123
GA$17.59–$19.342
GU$20.821
HI$20.821
IA$17.641
ID$17.741
IL$18.01–$19.714
IN$17.841
KS$17.531
KY$17.451
LA$17.41–$18.262
MA$19.79–$21.912
MD$19.23–$21.833
ME$17.79–$18.792
MI$17.86–$18.782
MN$19.211
MO$17.09–$18.373
MS$17.001
MT$19.041
NC$17.981
ND$18.841
NE$17.751
NH$19.571
NJ$20.55–$21.602
NM$17.941
NV$19.001
NY$18.24–$22.285
OH$17.821
OK$17.461
OR$18.88–$20.582
PA$17.87–$19.762
PR$19.191
RI$19.551
SC$17.921
SD$18.821
TN$17.611
TX$17.75–$19.828
UT$18.161
VA$18.70–$21.832
VI$19.191
VT$18.731
WA$19.76–$22.402
WI$18.221
WV$17.341
WY$18.951

See 95018 in every payment locality

How the 95018 rate is calculated

Each of 95018’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95018

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.14

0.14 RVUs× 1.000 GPCI

Practice expense0.42

0.42 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5700

Conversion factor

$33.4009

Medicare rate

$19.04

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,460

Code
95018
Physician work
0.14
Practice expense
0.42
Malpractice
0.01

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for 95018 in Idaho
ComponentRVULocality factorAdjusted
Physician work0.14× 1.0000.1400
Practice expense0.42× 0.9200.3864
Malpractice0.01× 0.4730.0047
Total RVUs0.5311
Conversion factor× 33.4009

Office rate, Idaho$17.74

Office: (0.14 × 1 + 0.42 × 0.92 + 0.01 × 0.473) × $33.4009 = $17.74

Facility: (0.14 × 1 + 0.03 × 0.92 + 0.01 × 0.473) × $33.4009 = $5.76

Open 95018 in the RVU calculator

Payment rules and modifiers for 95018

95018 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95018

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$19.04

Non-facility (office)
$19.04
Facility
$6.01

Higher because the practice carries its own overhead.

How 95018 has changed in Idaho

95018 · Office / nonfacility

$17.74

Effective 2026-10-01

The base rate is $0.14 higher than on 2025-10-01, moving from $17.60 to $17.74 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $17.60changed to$17.74

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.44 changed to 0.42
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $18.41changed to$17.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.45 changed to 0.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $18.11changed to$18.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.51changed to$18.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461
  5. January 1, 2023

    RVU23A

    $18.95changed to$18.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.46 changed to 0.45
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $19.41changed to$18.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.47 changed to 0.46

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $19.67changed to$19.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.47
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $20.18changed to$19.67

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.46 changed to 0.45
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.84changed to$20.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.45 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $19.10changed to$19.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.43 changed to 0.45
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $19.02changed to$19.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.48changed to$19.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.38 changed to 0.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $17.39changed to$17.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $18.37changed to$17.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.41 changed to 0.38
    • Practice expense GPCI 0.896 changed to 0.898
    • Malpractice GPCI 0.556 changed to 0.508

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $19.87changed to$18.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.49 changed to 0.41
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.603 changed to 0.556

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $19.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.74$5.76RVU26D
2026-07-01$17.74$5.76RVU26C
2026-04-01$17.74$5.76RVU26B
2026-01-01$17.74$5.76RVU26A
2025-10-01$17.60$6.44RVU25D
2025-07-01$17.60$6.44RVU25C
2025-04-01$17.60$6.44RVU25B
2025-01-01$17.60$6.44RVU25A
2024-10-01$18.41$6.63RVU24D
2024-07-01$18.41$6.63RVU24C
2024-04-01$18.41$6.63RVU24B
2024-03-09$18.41$6.63RVU24AR
2024-01-01$18.11$6.52RVU24A
2023-10-01$18.51$6.71RVU23D
2023-07-01$18.51$6.71RVU23C
2023-04-01$18.51$6.71RVU23B
2023-01-01$18.51$6.71RVU23A
2022-10-01$18.95$6.81RVU22D
2022-07-01$18.95$6.81RVU22C
2022-04-01$18.95$6.81RVU22B
2022-01-01$18.95$6.81RVU22A
2021-10-01$19.41$6.87RVU21D
2021-07-01$19.41$6.87RVU21C
2021-04-01$19.41$6.87RVU21B
2021-01-01$19.41$6.87RVU21A
2020-10-01$19.67$6.83RVU20D
2020-07-01$19.67$6.83RVU20C
2020-04-01$19.67$6.83RVU20B
2020-01-01$19.67$6.83RVU20A
2019-10-01$20.18$7.18RVU19D
2019-07-01$20.18$7.18RVU19C
2019-04-01$20.18$7.18RVU19B
2019-01-01$20.18$7.18RVU19A
2018-10-01$19.84$6.85RVU18D
2018-07-01$19.84$6.85RVU18C
2018-04-01$19.84$6.85RVU18B
2018-01-01$19.84$6.85RVU18AR1
2017-10-01$19.10$6.82RVU17D
2017-07-01$19.10$6.82RVU17C
2017-04-01$19.10$6.82RVU17B
2017-01-01$19.10$6.82RVU17A
2016-10-01$19.02$6.80RVU16D
2016-07-01$19.02$6.80RVU16C
2016-04-01$19.02$6.80RVU16B
2016-01-01$19.02$6.80RVU16A
2015-10-01$17.48$6.83RVU15D
2015-07-01$17.48$6.83RVU15C
2015-04-01$17.39$6.79RVU15B
2015-01-01$17.39$6.79RVU15A
2014-10-01$18.37$6.82RVU14D
2014-07-01$18.37$6.82RVU14C
2014-04-01$18.37$6.82RVU14B
2014-01-01$18.37$6.82RVU14A
2013-10-01$19.87$6.79RVU13D
2013-07-01$19.87$6.79RVU13C
2013-04-01$19.87$6.79RVU13B
2013-01-01$19.87$6.79RVU13AR

Price 95018 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

95018 billing questions

When should 95018 be chosen over 95017?

Use 95018 for drug or biological products. Code 95017 is the related testing code for venom allergy testing.

Can percutaneous and intracutaneous methods be reported together under 95018?

Yes. The code covers any combination of these methods for drug or biologic testing; report the number of tests performed.

Is interpretation separately billable?

Test interpretation and the report are included in 95018. Document the results and the clinician’s interpretation in the record.

What documentation supports the number of tests?

Record the drug or biological agents tested, the methods used, and the individual test results. The reported number should reflect the tests actually performed.

Is 95018 for environmental allergen testing?

No. It is for immediate-reaction testing with drugs or biologicals. Testing with allergenic extracts is represented by other allergy-testing codes, such as 95004 or 95024.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95018PPRRVU2026_Oct_nonQPP.csv, line 12,460 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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