CPT code 95147: Antigen preparation, three stinging insect venoms2026 Medicare rate & RVUs in Alabama

Report 95147 for supervised preparation and provision of a treatment dose containing three stinging insect venoms for allergen immunotherapy.

CMS RVU26DEffective Oct 1, 2026One payment locality8.1K Medicare services in 2024

In Alabama, Medicare pays $52.75 for 95147 in the office and $2.49 when it’s performed in a hospital or facility.

$52.75Office (non-facility)
$2.49Hospital or facility
−12.3%vs the national office rate ($60.12)

Check a contract rate as a % of Medicare · 95147 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 95147 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 95147 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 95147 covers

95147 represents the allergy practice’s professional service for supervising preparation and provision of a treatment dose made with three distinct stinging insect venom extracts. It is used in venom immunotherapy, such as treatment for a patient whose prescribed regimen includes three venom types. An allergist or another qualified physician typically directs the service; trained practice staff may perform preparation under that supervision. The injection itself is a separate service from the antigen preparation and provision represented here.

Select this code by the number of venom types in the prepared dose, not by the number of injection sites or injections given. Keep records identifying the prescribed venoms, preparation and dose details, and the supervising professional. When an immunotherapy injection is administered, report the applicable injection service separately. CMS assigns this service substantially more office practice-expense value than physician-work value, with a much smaller facility practice-expense value.

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 Alabama compares for 95147

Across 109 of 109 payment localities, the office rate for 95147 runs from $51.81 in Arkansas to $85.73 in San Benito County, CA. Alabama pays $52.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

95147 in Alabama vs other payment areas
  1. Alabama · this page$52.75
  2. Los Angeles, CA · California$70.67+$17.92
  3. Washington, DC area · District of Columbia$70.55+$17.80
  4. Miami, FL · Florida$63.00+$10.25
  5. Chicago, IL · Illinois$60.86+$8.11
  6. Manhattan, NY · New York$69.81+$17.06
  7. Alaska · Alaska$64.73+$11.98

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

Every other payment area

95147 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$51.81$2.46
ArizonaArizona$58.28$2.61
Bakersfield, CACalifornia$65.58$2.61
Chico, CACalifornia$65.55$2.58
El Centro, CACalifornia$65.55$2.58
Fresno, CACalifornia$65.55$2.58
Hanford, CACalifornia$65.55$2.58
Madera, CACalifornia$65.55$2.58

95147 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.

$51.81

$75.64

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

View every state and territory as a table
95147 office rate range by state
State / territoryOffice rate rangeLocalities
AK$64.731
AL$52.751
AR$51.811
AZ$58.281
CA$65.55–$85.7329
CO$63.771
CT$64.681
DC$70.551
DE$59.401
FL$57.75–$63.003
GA$53.95–$61.122
GU$67.901
HI$67.901
IA$55.011
ID$55.321
IL$55.28–$61.954
IN$55.731
KS$54.411
KY$53.681
LA$53.46–$56.762
MA$63.15–$71.382
MD$60.81–$70.553
ME$55.37–$59.482
MI$55.14–$58.332
MN$61.561
MO$52.14–$57.353
MS$52.001
MT$60.121
NC$56.131
ND$59.921
NE$55.461
NH$62.451
NJ$65.55–$69.522
NM$55.391
NV$60.121
NY$57.13–$71.465
OH$55.101
OK$53.861
OR$59.79–$66.482
PA$55.36–$62.592
PR$60.751
RI$62.031
SC$55.681
SD$59.901
TN$54.711
TX$54.90–$63.448
UT$56.621
VA$59.04–$70.552
VI$60.751
VT$59.381
WA$63.13–$73.282
WI$57.461
WV$52.701
WY$60.031

See 95147 in every payment locality

How the 95147 rate is calculated

Each of 95147’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 · 95147

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.06

0.06 RVUs× 1.000 GPCI

Practice expense1.73

1.73 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.8000

Conversion factor

$33.4009

Medicare rate

$60.12

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,484

Code
95147
Physician work
0.06
Practice expense
1.73
Malpractice
0.01

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 95147 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0000.0600
Practice expense1.73× 0.8751.5137
Malpractice0.01× 0.5660.0057
Total RVUs1.5794
Conversion factor× 33.4009

Office rate, Alabama$52.75

Office: (0.06 × 1 + 1.73 × 0.875 + 0.01 × 0.566) × $33.4009 = $52.75

Facility: (0.06 × 1 + 0.01 × 0.875 + 0.01 × 0.566) × $33.4009 = $2.49

Open 95147 in the RVU calculator

Payment rules and modifiers for 95147

95147 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 · 95147

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$60.12

Non-facility (office)
$60.12
Facility
$2.67

Higher because the practice carries its own overhead.

How 95147 has changed in Alabama

95147 · Office / nonfacility

$52.75

Effective 2026-10-01

The base rate is $0.31 higher than on 2025-10-01, moving from $52.44 to $52.75 (0.6%).

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

    $52.44changed to$52.75

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.79 changed to 1.73
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $56.57changed to$52.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.88 changed to 1.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $55.65changed to$56.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.57changed to$55.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.69 changed to 1.88
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $55.56changed to$52.57

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.73 changed to 1.69
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $56.64changed to$55.56

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.75 changed to 1.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $51.83changed to$56.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.54 changed to 1.75
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $49.81changed to$51.83

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.48 changed to 1.54
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $45.91changed to$49.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.36 changed to 1.48

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$45.91

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$52.75$2.49RVU26D
2026-07-01$52.75$2.49RVU26C
2026-04-01$52.75$2.49RVU26B
2026-01-01$52.75$2.49RVU26A
2025-10-01$52.44$2.97RVU25D
2025-07-01$52.44$2.97RVU25C
2025-04-01$52.44$2.97RVU25B
2025-01-01$52.44$2.97RVU25A
2024-10-01$56.57$2.77RVU24D
2024-07-01$56.57$2.77RVU24C
2024-04-01$56.57$2.77RVU24B
2024-03-09$56.57$2.77RVU24AR
2024-01-01$55.65$2.72RVU24A
2023-10-01$52.57$2.88RVU23D
2023-07-01$52.57$2.88RVU23C
2023-04-01$52.57$2.88RVU23B
2023-01-01$52.57$2.88RVU23A
2022-10-01$55.56$3.01RVU22D
2022-07-01$55.56$3.01RVU22C
2022-04-01$55.56$3.01RVU22B
2022-01-01$55.56$3.01RVU22A
2021-10-01$56.64$3.03RVU21D
2021-07-01$56.64$3.03RVU21C
2021-04-01$56.64$3.03RVU21B
2021-01-01$56.64$3.03RVU21A
2020-10-01$51.83$3.06RVU20D
2020-07-01$51.83$3.06RVU20C
2020-04-01$51.83$3.06RVU20B
2020-01-01$51.83$3.06RVU20A
2019-10-01$49.81$2.98RVU19D
2019-07-01$49.81$2.98RVU19C
2019-04-01$49.81$2.98RVU19B
2019-01-01$49.81$2.98RVU19A
2018-10-01$45.91$2.98RVU18D
2018-07-01$45.91$2.98RVU18C
2018-04-01$45.91$2.98RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 95147 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

95147 billing questions

When should 95147 be selected instead of 95146 or 95148?

Select 95147 when the prepared treatment dose contains three distinct stinging insect venoms. The neighboring codes represent doses with two or four venom types.

Does 95147 include administering the injection?

No. It represents supervision of antigen preparation and provision; report the appropriate immunotherapy injection service separately when an injection is administered.

What documentation supports 95147?

Document the three venom types in the prescribed preparation, the dose prepared or provided, and the professional supervision of the service.

How should units reflect the service?

Keep units tied to the treatment doses prepared and provided, supported by the practice’s dose and preparation records. Do not count injection sites as antigen-preparation units.

Can 95147 be reported with an injection code?

Yes, when the practice also administers an immunotherapy injection, the preparation/provision service and injection service describe distinct work. Choose the injection code based on the number of injections.

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 95147PPRRVU2026_Oct_nonQPP.csv, line 12,484 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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