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

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 Iowa, Medicare pays $55.01 for 95147 in the office and $2.44 when it’s performed in a hospital or facility.

$55.01Office (non-facility)
$2.44Hospital or facility
−8.5%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 Iowa
  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 Iowa 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. Iowa pays $55.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

95147 in Iowa vs other payment areas
  1. Iowa · this page$55.01
  2. Los Angeles, CA · California$70.67+$15.66
  3. Washington, DC area · District of Columbia$70.55+$15.54
  4. Miami, FL · Florida$63.00+$7.99
  5. Chicago, IL · Illinois$60.86+$5.85
  6. Manhattan, NY · New York$69.81+$14.80
  7. Alaska · Alaska$64.73+$9.72

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

Every other payment area

95147 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$52.75$2.49
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

95147 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 95147 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0000.0600
Practice expense1.73× 0.9151.5830
Malpractice0.01× 0.3970.0040
Total RVUs1.6469
Conversion factor× 33.4009

Office rate, Iowa$55.01

Office: (0.06 × 1 + 1.73 × 0.915 + 0.01 × 0.397) × $33.4009 = $55.01

Facility: (0.06 × 1 + 0.01 × 0.915 + 0.01 × 0.397) × $33.4009 = $2.44

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.

Codes related to 95147

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95147
CodeHow it relatesOffice range, Iowa
Same family
95146Venom antigen preparation, two venom typesRepresents preparation and provision for a dose containing two stinging insect venoms.$57.15
95148Venom antigen preparation, four insect venomsRepresents preparation and provision for a dose containing four stinging insect venoms.$81.60
Often billed with
95115Allergy shot, single injection, extract not includedMay report a single immunotherapy injection administered in addition to the antigen service.$9.30
95117Allergy shots, two or more injections, extract not includedMay report two or more immunotherapy injections administered in addition to the antigen service.$11.13
Used instead
95130Venom immunotherapy, one insect venomOffice-based venom immunotherapy service includes extract provision and injection for one venom.No office rate
95131Venom immunotherapy, two insect venomsOffice-based venom immunotherapy service includes extract provision and injection for two venoms.No office rate

How 95147 has changed in Iowa

95147 · Office / nonfacility

$55.01

Effective 2026-10-01

The base rate is $0.06 higher than on 2025-10-01, moving from $54.95 to $55.01 (0.1%).

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

    $54.95changed to$55.01

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.79 changed to 1.73
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $59.29changed to$54.95

    • 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

    $58.32changed to$59.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.30changed to$58.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.69 changed to 1.88
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $56.52changed to$54.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.73 changed to 1.69
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $57.63changed to$56.52

    • 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

    $52.73changed to$57.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.54 changed to 1.75
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $50.69changed to$52.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.48 changed to 1.54
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $46.72changed to$50.69

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $44.72changed to$46.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.31 changed to 1.36
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $31.84changed to$44.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 1.31
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.95changed to$31.84

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $31.79changed to$31.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $31.40changed to$31.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.91 changed to 0.92
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.68changed to$31.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.01 changed to 0.91
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$55.01$2.44RVU26D
2026-07-01$55.01$2.44RVU26C
2026-04-01$55.01$2.44RVU26B
2026-01-01$55.01$2.44RVU26A
2025-10-01$54.95$2.97RVU25D
2025-07-01$54.95$2.97RVU25C
2025-04-01$54.95$2.97RVU25B
2025-01-01$54.95$2.97RVU25A
2024-10-01$59.29$2.76RVU24D
2024-07-01$59.29$2.76RVU24C
2024-04-01$59.29$2.76RVU24B
2024-03-09$59.29$2.76RVU24AR
2024-01-01$58.32$2.71RVU24A
2023-10-01$54.30$2.80RVU23D
2023-07-01$54.30$2.80RVU23C
2023-04-01$54.30$2.80RVU23B
2023-01-01$54.30$2.80RVU23A
2022-10-01$56.52$2.85RVU22D
2022-07-01$56.52$2.85RVU22C
2022-04-01$56.52$2.85RVU22B
2022-01-01$56.52$2.85RVU22A
2021-10-01$57.63$2.87RVU21D
2021-07-01$57.63$2.87RVU21C
2021-04-01$57.63$2.87RVU21B
2021-01-01$57.63$2.87RVU21A
2020-10-01$52.73$2.97RVU20D
2020-07-01$52.73$2.97RVU20C
2020-04-01$52.73$2.97RVU20B
2020-01-01$52.73$2.97RVU20A
2019-10-01$50.69$2.97RVU19D
2019-07-01$50.69$2.97RVU19C
2019-04-01$50.69$2.97RVU19B
2019-01-01$50.69$2.97RVU19A
2018-10-01$46.72$2.97RVU18D
2018-07-01$46.72$2.97RVU18C
2018-04-01$46.72$2.97RVU18B
2018-01-01$46.72$2.97RVU18AR1
2017-10-01$44.72$2.97RVU17D
2017-07-01$44.72$2.97RVU17C
2017-04-01$44.72$2.97RVU17B
2017-01-01$44.72$2.97RVU17A
2016-10-01$31.84$2.97RVU16D
2016-07-01$31.84$2.97RVU16C
2016-04-01$31.84$2.97RVU16B
2016-01-01$31.84$2.97RVU16A
2015-10-01$31.95$2.98RVU15D
2015-07-01$31.95$2.98RVU15C
2015-04-01$31.79$2.96RVU15B
2015-01-01$31.79$2.96RVU15A
2014-10-01$31.40$2.96RVU14D
2014-07-01$31.40$2.96RVU14C
2014-04-01$31.40$2.96RVU14B
2014-01-01$31.40$2.96RVU14A
2013-10-01$32.68$2.80RVU13D
2013-07-01$32.68$2.80RVU13C
2013-04-01$32.68$2.80RVU13B
2013-01-01$32.68$2.80RVU13AR

Price 95147 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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