CPT code 95027: Intradermal testing, sequential airborne allergens2026 Medicare rate & RVUs in Idaho
Reports sequential, increasing-concentration intradermal testing for immediate reactions to airborne allergens, with the number of tests performed documented.
In Idaho, Medicare pays $4.18 for 95027 in the office.
Check a contract rate as a % of Medicare · 95027 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95027 covers
This service uses intradermal injections of airborne allergen extracts in a sequential, incremental series to assess immediate-type sensitivity. Allergy specialists commonly perform it in an office allergy clinic, sometimes after percutaneous testing has not resolved the clinical question. The series may evaluate suspected sensitivity to aeroallergens such as pollens, dust mites, or animal dander.
Select 95027 for the sequential and incremental intradermal protocol for airborne allergens, rather than routine intradermal testing or percutaneous testing. The record should identify the allergens tested, the testing sequence, the number of tests performed, and the observed reactions. Report the documented test count, not simply one unit for the visit. CMS assigns work, practice-expense, and malpractice relative values to the service.
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 95027
Across 109 of 109 payment localities, the office rate for 95027 runs from $3.95 in Arkansas to $6.33 in San Benito County, CA. Idaho pays $4.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$4.18
- Los Angeles, CA · California$5.31+$1.13
- Washington, DC area · District of Columbia$5.45+$1.27
- Miami, FL · Florida$5.35+$1.17
- Chicago, IL · Illinois$5.13+$0.95
- Manhattan, NY · New York$5.54+$1.36
- Alaska · Alaska$4.95+$0.77
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $4.03 | — |
| ArkansasArkansas | $3.95 | — |
| ArizonaArizona | $4.50 | — |
| Bakersfield, CACalifornia | $4.94 | — |
| Chico, CACalifornia | $4.91 | — |
| El Centro, CACalifornia | $4.91 | — |
| Fresno, CACalifornia | $4.91 | — |
| Hanford, CACalifornia | $4.91 | — |
| Madera, CACalifornia | $4.91 | — |
| Merced, CACalifornia | $4.91 | — |
| Modesto, CACalifornia | $4.91 | — |
| Napa, CACalifornia | $5.81 | — |
| Oxnard, CACalifornia | $5.29 | — |
| Redding, CACalifornia | $4.91 | — |
| Rest of CaliforniaCalifornia | $4.91 | — |
| Riverside, CACalifornia | $5.02 | — |
| Sacramento, CACalifornia | $5.19 | — |
| Salinas, CACalifornia | $5.17 | — |
| San Diego, CACalifornia | $5.32 | — |
| Marin County, CACalifornia | $6.17 | — |
| San Francisco, CACalifornia | $6.16 | — |
| San Benito County, CACalifornia | $6.33 | — |
| Santa Clara County, CACalifornia | $6.28 | — |
| San Luis Obispo, CACalifornia | $5.08 | — |
| Santa Cruz, CACalifornia | $5.39 | — |
| Santa Maria, CACalifornia | $5.20 | — |
| Santa Rosa, CACalifornia | $5.45 | — |
| Stockton, CACalifornia | $4.91 | — |
| Vallejo, CACalifornia | $5.79 | — |
| Visalia, CACalifornia | $4.91 | — |
| Yuba City, CACalifornia | $4.91 | — |
| ColoradoColorado | $4.86 | — |
| ConnecticutConnecticut | $5.06 | — |
| DelawareDelaware | $4.60 | — |
| Fort Lauderdale, FLFlorida | $5.00 | — |
| Rest of FloridaFlorida | $4.67 | — |
| Atlanta, GAGeorgia | $4.81 | — |
| Rest of GeorgiaGeorgia | $4.31 | — |
| Hawaii, Guam, HIHawaii | $5.08 | — |
| IowaIowa | $4.13 | — |
| East St. Louis, ILIllinois | $4.69 | — |
| Rest of IllinoisIllinois | $4.52 | — |
| Suburban Chicago, ILIllinois | $5.04 | — |
| IndianaIndiana | $4.21 | — |
| KansasKansas | $4.13 | — |
| KentuckyKentucky | $4.20 | — |
| New Orleans, LALouisiana | $4.49 | — |
| Rest of LouisianaLouisiana | $4.20 | — |
| Metropolitan Boston, MAMassachusetts | $5.43 | — |
| Rest of MassachusettsMassachusetts | $4.83 | — |
| Baltimore area, MDMaryland | $5.05 | — |
| Rest of MarylandMaryland | $4.70 | — |
| Rest of MaineMaine | $4.23 | — |
| Southern Maine, MEMaine | $4.52 | — |
| Detroit, MIMichigan | $4.76 | — |
| Rest of MichiganMichigan | $4.37 | — |
| MinnesotaMinnesota | $4.56 | — |
| Metropolitan Kansas City, MOMissouri | $4.42 | — |
| Metropolitan St. Louis, MOMissouri | $4.48 | — |
| Rest of MissouriMissouri | $4.11 | — |
| MississippiMississippi | $4.03 | — |
| MontanaMontana | $4.68 | — |
| North CarolinaNorth Carolina | $4.29 | — |
| North DakotaNorth Dakota | $4.48 | — |
| NebraskaNebraska | $4.16 | — |
| New HampshireNew Hampshire | $4.80 | — |
| Northern New JerseyNew Jersey | $5.36 | — |
| Rest of New JerseyNew Jersey | $5.09 | — |
| New MexicoNew Mexico | $4.41 | — |
| NevadaNevada | $4.62 | — |
| NYC suburbs and Long Island, NYNew York | $5.74 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $5.14 | — |
| Queens, NYNew York | $5.57 | — |
| Rest of New YorkNew York | $4.38 | — |
| OhioOhio | $4.33 | — |
| OklahomaOklahoma | $4.17 | — |
| Portland, OROregon | $5.04 | — |
| Rest of OregonOregon | $4.56 | — |
| Metropolitan Philadelphia, PAPennsylvania | $4.91 | — |
| Rest of PennsylvaniaPennsylvania | $4.33 | — |
| Puerto RicoPuerto Rico | $4.72 | — |
| Rhode IslandRhode Island | $4.78 | — |
| South CarolinaSouth Carolina | $4.32 | — |
| South DakotaSouth Dakota | $4.45 | — |
| TennesseeTennessee | $4.16 | — |
| Austin, TXTexas | $4.87 | — |
| Beaumont, TXTexas | $4.29 | — |
| Brazoria, TXTexas | $4.57 | — |
| Dallas, TXTexas | $4.62 | — |
| Fort Worth, TXTexas | $4.58 | — |
| Galveston, TXTexas | $4.59 | — |
| Houston, TXTexas | $4.78 | — |
| Rest of TexasTexas | $4.44 | — |
| UtahUtah | $4.40 | — |
| VirginiaVirginia | $4.51 | — |
| Virgin Islands, VIUnited States Virgin Islands | $4.72 | — |
| VermontVermont | $4.47 | — |
| Rest of WashingtonWashington | $4.81 | — |
| King County, WAWashington | $5.54 | — |
| WisconsinWisconsin | $4.28 | — |
| West VirginiaWest Virginia | $4.30 | — |
| WyomingWyoming | $4.59 | — |
95027 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.
$3.95
$5.62
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $4.95 | 1 |
| AL | $4.03 | 1 |
| AR | $3.95 | 1 |
| AZ | $4.50 | 1 |
| CA | $4.91–$6.33 | 29 |
| CO | $4.86 | 1 |
| CT | $5.06 | 1 |
| DC | $5.45 | 1 |
| DE | $4.60 | 1 |
| FL | $4.67–$5.35 | 3 |
| GA | $4.31–$4.81 | 2 |
| GU | $5.08 | 1 |
| HI | $5.08 | 1 |
| IA | $4.13 | 1 |
| ID | $4.18 | 1 |
| IL | $4.52–$5.13 | 4 |
| IN | $4.21 | 1 |
| KS | $4.13 | 1 |
| KY | $4.20 | 1 |
| LA | $4.20–$4.49 | 2 |
| MA | $4.83–$5.43 | 2 |
| MD | $4.70–$5.45 | 3 |
| ME | $4.23–$4.52 | 2 |
| MI | $4.37–$4.76 | 2 |
| MN | $4.56 | 1 |
| MO | $4.11–$4.48 | 3 |
| MS | $4.03 | 1 |
| MT | $4.68 | 1 |
| NC | $4.29 | 1 |
| ND | $4.48 | 1 |
| NE | $4.16 | 1 |
| NH | $4.80 | 1 |
| NJ | $5.09–$5.36 | 2 |
| NM | $4.41 | 1 |
| NV | $4.62 | 1 |
| NY | $4.38–$5.74 | 5 |
| OH | $4.33 | 1 |
| OK | $4.17 | 1 |
| OR | $4.56–$5.04 | 2 |
| PA | $4.33–$4.91 | 2 |
| PR | $4.72 | 1 |
| RI | $4.78 | 1 |
| SC | $4.32 | 1 |
| SD | $4.45 | 1 |
| TN | $4.16 | 1 |
| TX | $4.29–$4.87 | 8 |
| UT | $4.40 | 1 |
| VA | $4.51–$5.45 | 2 |
| VI | $4.72 | 1 |
| VT | $4.47 | 1 |
| WA | $4.81–$5.54 | 2 |
| WI | $4.28 | 1 |
| WV | $4.30 | 1 |
| WY | $4.59 | 1 |
How the 95027 rate is calculated
Each of 95027’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 · 95027
RVUs × geographic indexes × conversion factor
Work0.01
0.01 RVUs× 1.000 GPCI
Practice expense0.12
0.12 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.1400
Conversion factor
$33.4009
Medicare rate
$4.68
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
12,462
- Code
- 95027
- Physician work
- 0.01
- Practice expense
- 0.12
- Malpractice
- 0.01
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.01 | × 1.000 | 0.0100 |
| Practice expense | 0.12 | × 0.920 | 0.1104 |
| Malpractice | 0.01 | × 0.473 | 0.0047 |
| Total RVUs | 0.1251 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$4.18
Office: (0.01 × 1 + 0.12 × 0.92 + 0.01 × 0.473) × $33.4009 = $4.18
Payment rules and modifiers for 95027
95027 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 · 95027
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$4.68
Higher because the practice carries its own overhead.
How 95027 has changed in Idaho
95027 · Office / nonfacility
$4.18
Effective 2026-10-01
The base rate is $0.18 higher than on 2025-10-01, moving from $4.00 to $4.18 (4.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$4.00changed to$4.18
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$4.42changed to$4.00
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.13 changed to 0.12
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$4.34changed to$4.42
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$4.42changed to$4.34
- 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
January 1, 2023
RVU23A
$4.44changed to$4.42
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$4.17changed to$4.44
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.12 changed to 0.13
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$4.38changed to$4.17
- Conversion factor 36.0896 changed to 34.8931
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$4.12changed to$4.38
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.11 changed to 0.12
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$4.12changed to$4.12
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$4.09changed to$4.12
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$4.08changed to$4.09
- 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.
January 1, 2016
RVU16A
$4.09changed to$4.08
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$4.07changed to$4.09
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$4.09changed to$4.07
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$4.50changed to$4.09
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.13 changed to 0.11
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $4.50
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $4.18 | Not available in this setting | RVU26D |
| 2026-07-01 | $4.18 | Not available in this setting | RVU26C |
| 2026-04-01 | $4.18 | Not available in this setting | RVU26B |
| 2026-01-01 | $4.18 | Not available in this setting | RVU26A |
| 2025-10-01 | $4.00 | Not available in this setting | RVU25D |
| 2025-07-01 | $4.00 | Not available in this setting | RVU25C |
| 2025-04-01 | $4.00 | Not available in this setting | RVU25B |
| 2025-01-01 | $4.00 | Not available in this setting | RVU25A |
| 2024-10-01 | $4.42 | Not available in this setting | RVU24D |
| 2024-07-01 | $4.42 | Not available in this setting | RVU24C |
| 2024-04-01 | $4.42 | Not available in this setting | RVU24B |
| 2024-03-09 | $4.42 | Not available in this setting | RVU24AR |
| 2024-01-01 | $4.34 | Not available in this setting | RVU24A |
| 2023-10-01 | $4.42 | Not available in this setting | RVU23D |
| 2023-07-01 | $4.42 | Not available in this setting | RVU23C |
| 2023-04-01 | $4.42 | Not available in this setting | RVU23B |
| 2023-01-01 | $4.42 | Not available in this setting | RVU23A |
| 2022-10-01 | $4.44 | Not available in this setting | RVU22D |
| 2022-07-01 | $4.44 | Not available in this setting | RVU22C |
| 2022-04-01 | $4.44 | Not available in this setting | RVU22B |
| 2022-01-01 | $4.44 | Not available in this setting | RVU22A |
| 2021-10-01 | $4.17 | Not available in this setting | RVU21D |
| 2021-07-01 | $4.17 | Not available in this setting | RVU21C |
| 2021-04-01 | $4.17 | Not available in this setting | RVU21B |
| 2021-01-01 | $4.17 | Not available in this setting | RVU21A |
| 2020-10-01 | $4.38 | Not available in this setting | RVU20D |
| 2020-07-01 | $4.38 | Not available in this setting | RVU20C |
| 2020-04-01 | $4.38 | Not available in this setting | RVU20B |
| 2020-01-01 | $4.38 | Not available in this setting | RVU20A |
| 2019-10-01 | $4.12 | Not available in this setting | RVU19D |
| 2019-07-01 | $4.12 | Not available in this setting | RVU19C |
| 2019-04-01 | $4.12 | Not available in this setting | RVU19B |
| 2019-01-01 | $4.12 | Not available in this setting | RVU19A |
| 2018-10-01 | $4.12 | Not available in this setting | RVU18D |
| 2018-07-01 | $4.12 | Not available in this setting | RVU18C |
| 2018-04-01 | $4.12 | Not available in this setting | RVU18B |
| 2018-01-01 | $4.12 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $4.09 | Not available in this setting | RVU17D |
| 2017-07-01 | $4.09 | Not available in this setting | RVU17C |
| 2017-04-01 | $4.09 | Not available in this setting | RVU17B |
| 2017-01-01 | $4.09 | Not available in this setting | RVU17A |
| 2016-10-01 | $4.08 | Not available in this setting | RVU16D |
| 2016-07-01 | $4.08 | Not available in this setting | RVU16C |
| 2016-04-01 | $4.08 | Not available in this setting | RVU16B |
| 2016-01-01 | $4.08 | Not available in this setting | RVU16A |
| 2015-10-01 | $4.09 | Not available in this setting | RVU15D |
| 2015-07-01 | $4.09 | Not available in this setting | RVU15C |
| 2015-04-01 | $4.07 | Not available in this setting | RVU15B |
| 2015-01-01 | $4.07 | Not available in this setting | RVU15A |
| 2014-10-01 | $4.09 | Not available in this setting | RVU14D |
| 2014-07-01 | $4.09 | Not available in this setting | RVU14C |
| 2014-04-01 | $4.09 | Not available in this setting | RVU14B |
| 2014-01-01 | $4.09 | Not available in this setting | RVU14A |
| 2013-10-01 | $4.50 | Not available in this setting | RVU13D |
| 2013-07-01 | $4.50 | Not available in this setting | RVU13C |
| 2013-04-01 | $4.50 | Not available in this setting | RVU13B |
| 2013-01-01 | $4.50 | Not available in this setting | RVU13AR |
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
95027 billing questions
How does 95027 differ from 95024?
95027 is for sequential, incremental intradermal testing of airborne allergens. 95024 describes intradermal allergen testing without that sequential-and-incremental distinction.
When would 95004 be more appropriate?
Use 95004 for percutaneous testing, such as prick or puncture testing. 95027 is for the specified intradermal sequence, not surface testing.
How many units should be reported?
Report the number of tests performed and documented, rather than one unit for the entire allergy-testing visit. The record should support the test count and the incremental sequence.
Can an office visit be reported on the same date?
A separately identifiable evaluation may be reported when the documentation supports a distinct E/M service in addition to the testing. The testing work alone does not establish a separate office visit.
Is 95027 used for venom or drug testing?
No. This code is specific to sequential, incremental intradermal testing for airborne allergens; venom and drug or biologic testing have separate code pathways.
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
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