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.

CMS RVU26DEffective Oct 1, 2026One payment locality98K Medicare services in 2024

In Idaho, Medicare pays $4.18 for 95027 in the office.

$4.18Office (non-facility)
Not available in this settingHospital or facility
−10.7%vs the national office rate ($4.68)

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.

We’ll open 95027 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 95027 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 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.

95027 in Idaho vs other payment areas
  1. Idaho · this page$4.18
  2. Los Angeles, CA · California$5.31+$1.13
  3. Washington, DC area · District of Columbia$5.45+$1.27
  4. Miami, FL · Florida$5.35+$1.17
  5. Chicago, IL · Illinois$5.13+$0.95
  6. Manhattan, NY · New York$5.54+$1.36
  7. Alaska · Alaska$4.95+$0.77

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

Every other payment area

95027 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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
95027 office rate range by state
State / territoryOffice rate rangeLocalities
AK$4.951
AL$4.031
AR$3.951
AZ$4.501
CA$4.91–$6.3329
CO$4.861
CT$5.061
DC$5.451
DE$4.601
FL$4.67–$5.353
GA$4.31–$4.812
GU$5.081
HI$5.081
IA$4.131
ID$4.181
IL$4.52–$5.134
IN$4.211
KS$4.131
KY$4.201
LA$4.20–$4.492
MA$4.83–$5.432
MD$4.70–$5.453
ME$4.23–$4.522
MI$4.37–$4.762
MN$4.561
MO$4.11–$4.483
MS$4.031
MT$4.681
NC$4.291
ND$4.481
NE$4.161
NH$4.801
NJ$5.09–$5.362
NM$4.411
NV$4.621
NY$4.38–$5.745
OH$4.331
OK$4.171
OR$4.56–$5.042
PA$4.33–$4.912
PR$4.721
RI$4.781
SC$4.321
SD$4.451
TN$4.161
TX$4.29–$4.878
UT$4.401
VA$4.51–$5.452
VI$4.721
VT$4.471
WA$4.81–$5.542
WI$4.281
WV$4.301
WY$4.591

See 95027 in every payment locality

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

Office or facility?

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
Office calculation for 95027 in Idaho
ComponentRVULocality factorAdjusted
Physician work0.01× 1.0000.0100
Practice expense0.12× 0.9200.1104
Malpractice0.01× 0.4730.0047
Total RVUs0.1251
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

Open 95027 in the RVU calculator

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $4.34changed to$4.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. January 1, 2019

    RVU19A

    $4.12changed to$4.12

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

  11. 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.

  12. January 1, 2016

    RVU16A

    $4.09changed to$4.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $4.07changed to$4.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. 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.

  15. 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.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $4.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$4.18Not available in this settingRVU26D
2026-07-01$4.18Not available in this settingRVU26C
2026-04-01$4.18Not available in this settingRVU26B
2026-01-01$4.18Not available in this settingRVU26A
2025-10-01$4.00Not available in this settingRVU25D
2025-07-01$4.00Not available in this settingRVU25C
2025-04-01$4.00Not available in this settingRVU25B
2025-01-01$4.00Not available in this settingRVU25A
2024-10-01$4.42Not available in this settingRVU24D
2024-07-01$4.42Not available in this settingRVU24C
2024-04-01$4.42Not available in this settingRVU24B
2024-03-09$4.42Not available in this settingRVU24AR
2024-01-01$4.34Not available in this settingRVU24A
2023-10-01$4.42Not available in this settingRVU23D
2023-07-01$4.42Not available in this settingRVU23C
2023-04-01$4.42Not available in this settingRVU23B
2023-01-01$4.42Not available in this settingRVU23A
2022-10-01$4.44Not available in this settingRVU22D
2022-07-01$4.44Not available in this settingRVU22C
2022-04-01$4.44Not available in this settingRVU22B
2022-01-01$4.44Not available in this settingRVU22A
2021-10-01$4.17Not available in this settingRVU21D
2021-07-01$4.17Not available in this settingRVU21C
2021-04-01$4.17Not available in this settingRVU21B
2021-01-01$4.17Not available in this settingRVU21A
2020-10-01$4.38Not available in this settingRVU20D
2020-07-01$4.38Not available in this settingRVU20C
2020-04-01$4.38Not available in this settingRVU20B
2020-01-01$4.38Not available in this settingRVU20A
2019-10-01$4.12Not available in this settingRVU19D
2019-07-01$4.12Not available in this settingRVU19C
2019-04-01$4.12Not available in this settingRVU19B
2019-01-01$4.12Not available in this settingRVU19A
2018-10-01$4.12Not available in this settingRVU18D
2018-07-01$4.12Not available in this settingRVU18C
2018-04-01$4.12Not available in this settingRVU18B
2018-01-01$4.12Not available in this settingRVU18AR1
2017-10-01$4.09Not available in this settingRVU17D
2017-07-01$4.09Not available in this settingRVU17C
2017-04-01$4.09Not available in this settingRVU17B
2017-01-01$4.09Not available in this settingRVU17A
2016-10-01$4.08Not available in this settingRVU16D
2016-07-01$4.08Not available in this settingRVU16C
2016-04-01$4.08Not available in this settingRVU16B
2016-01-01$4.08Not available in this settingRVU16A
2015-10-01$4.09Not available in this settingRVU15D
2015-07-01$4.09Not available in this settingRVU15C
2015-04-01$4.07Not available in this settingRVU15B
2015-01-01$4.07Not available in this settingRVU15A
2014-10-01$4.09Not available in this settingRVU14D
2014-07-01$4.09Not available in this settingRVU14C
2014-04-01$4.09Not available in this settingRVU14B
2014-01-01$4.09Not available in this settingRVU14A
2013-10-01$4.50Not available in this settingRVU13D
2013-07-01$4.50Not available in this settingRVU13C
2013-04-01$4.50Not available in this settingRVU13B
2013-01-01$4.50Not available in this settingRVU13AR

Price 95027 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

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
RVUs for 95027PPRRVU2026_Oct_nonQPP.csv, line 12,462 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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