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

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 South Carolina, Medicare pays $17.92 for 95018 in the office and $5.89 when it’s performed in a hospital or facility.

$17.92Office (non-facility)
$5.89Hospital or facility
−5.9%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 South Carolina
  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 South Carolina 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. South Carolina pays $17.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

95018 in South Carolina vs other payment areas
  1. South Carolina · this page$17.92
  2. Los Angeles, CA · California$21.69+$3.77
  3. Washington, DC area · District of Columbia$21.83+$3.91
  4. Miami, FL · Florida$20.12+$2.20
  5. Chicago, IL · Illinois$19.57+$1.65
  6. Manhattan, NY · New York$21.81+$3.89
  7. Alaska · Alaska$22.14+$4.22

Other areas in South Carolina 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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 95018 in South Carolina
ComponentRVULocality factorAdjusted
Physician work0.14× 1.0000.1400
Practice expense0.42× 0.9240.3881
Malpractice0.01× 0.8500.0085
Total RVUs0.5366
Conversion factor× 33.4009

Office rate, South Carolina$17.92

Office: (0.14 × 1 + 0.42 × 0.924 + 0.01 × 0.85) × $33.4009 = $17.92

Facility: (0.14 × 1 + 0.03 × 0.924 + 0.01 × 0.85) × $33.4009 = $5.89

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 South Carolina

95018 · Office / nonfacility

$17.92

Effective 2026-10-01

The base rate is $0.13 higher than on 2025-10-01, moving from $17.79 to $17.92 (0.7%).

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

    $17.79changed to$17.92

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.44 changed to 0.42
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $18.61changed to$17.79

    • 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

    $18.30changed to$18.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.85changed to$18.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817
  5. January 1, 2023

    RVU23A

    $19.46changed to$18.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.46 changed to 0.45
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $19.94changed to$19.46

    • 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

    $20.01changed to$19.94

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.47
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $20.36changed to$20.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.46 changed to 0.45
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $20.01changed to$20.36

    • 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

    $19.33changed to$20.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.43 changed to 0.45
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $19.31changed to$19.33

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.74changed to$19.31

    • 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

    $17.65changed to$17.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $18.62changed to$17.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.41 changed to 0.38
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $20.09changed to$18.62

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.49 changed to 0.41
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $20.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.92$5.89RVU26D
2026-07-01$17.92$5.89RVU26C
2026-04-01$17.92$5.89RVU26B
2026-01-01$17.92$5.89RVU26A
2025-10-01$17.79$6.56RVU25D
2025-07-01$17.79$6.56RVU25C
2025-04-01$17.79$6.56RVU25B
2025-01-01$17.79$6.56RVU25A
2024-10-01$18.61$6.76RVU24D
2024-07-01$18.61$6.76RVU24C
2024-04-01$18.61$6.76RVU24B
2024-03-09$18.61$6.76RVU24AR
2024-01-01$18.30$6.65RVU24A
2023-10-01$18.85$6.85RVU23D
2023-07-01$18.85$6.85RVU23C
2023-04-01$18.85$6.85RVU23B
2023-01-01$18.85$6.85RVU23A
2022-10-01$19.46$6.96RVU22D
2022-07-01$19.46$6.96RVU22C
2022-04-01$19.46$6.96RVU22B
2022-01-01$19.46$6.96RVU22A
2021-10-01$19.94$7.02RVU21D
2021-07-01$19.94$7.02RVU21C
2021-04-01$19.94$7.02RVU21B
2021-01-01$19.94$7.02RVU21A
2020-10-01$20.01$6.91RVU20D
2020-07-01$20.01$6.91RVU20C
2020-04-01$20.01$6.91RVU20B
2020-01-01$20.01$6.91RVU20A
2019-10-01$20.36$7.22RVU19D
2019-07-01$20.36$7.22RVU19C
2019-04-01$20.36$7.22RVU19B
2019-01-01$20.36$7.22RVU19A
2018-10-01$20.01$6.88RVU18D
2018-07-01$20.01$6.88RVU18C
2018-04-01$20.01$6.88RVU18B
2018-01-01$20.01$6.88RVU18AR1
2017-10-01$19.33$6.89RVU17D
2017-07-01$19.33$6.89RVU17C
2017-04-01$19.33$6.89RVU17B
2017-01-01$19.33$6.89RVU17A
2016-10-01$19.31$6.90RVU16D
2016-07-01$19.31$6.90RVU16C
2016-04-01$19.31$6.90RVU16B
2016-01-01$19.31$6.90RVU16A
2015-10-01$17.74$6.93RVU15D
2015-07-01$17.74$6.93RVU15C
2015-04-01$17.65$6.89RVU15B
2015-01-01$17.65$6.89RVU15A
2014-10-01$18.62$6.87RVU14D
2014-07-01$18.62$6.87RVU14C
2014-04-01$18.62$6.87RVU14B
2014-01-01$18.62$6.87RVU14A
2013-10-01$20.09$6.80RVU13D
2013-07-01$20.09$6.80RVU13C
2013-04-01$20.09$6.80RVU13B
2013-01-01$20.09$6.80RVU13AR

Price 95018 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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 South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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