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

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 Virginia, Medicare pays $59.04 for 95147 in the office and $2.57 when it’s performed in a hospital or facility.

$59.04Office (non-facility)
$2.57Hospital or facility
−1.8%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 Virginia
  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 Virginia 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. Virginia pays $59.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

95147 in Virginia vs other payment areas
  1. Virginia · this page$59.04
  2. Los Angeles, CA · California$70.67+$11.63
  3. Washington, DC area · District of Columbia$70.55+$11.51
  4. Miami, FL · Florida$63.00+$3.96
  5. Chicago, IL · Illinois$60.86+$1.82
  6. Manhattan, NY · New York$69.81+$10.77
  7. Alaska · Alaska$64.73+$5.69

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 95147 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.06× 1.0000.0600
Practice expense1.73× 0.9831.7006
Malpractice0.01× 0.7060.0071
Total RVUs1.7677
Conversion factor× 33.4009

Office rate, Virginia$59.04

Office: (0.06 × 1 + 1.73 × 0.983 + 0.01 × 0.706) × $33.4009 = $59.04

Facility: (0.06 × 1 + 0.01 × 0.983 + 0.01 × 0.706) × $33.4009 = $2.57

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, Virginia
Same family
95146Venom antigen preparation, two venom typesRepresents preparation and provision for a dose containing two stinging insect venoms.$61.34
95148Venom antigen preparation, four insect venomsRepresents preparation and provision for a dose containing four stinging insect venoms.$87.61
Often billed with
95115Allergy shot, single injection, extract not includedMay report a single immunotherapy injection administered in addition to the antigen service.$10.09
95117Allergy shots, two or more injections, extract not includedMay report two or more immunotherapy injections administered in addition to the antigen service.$12.06
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 Virginia

95147 · Office / nonfacility

$59.04

Effective 2026-10-01

The base rate is $0.12 lower than on 2025-10-01, moving from $59.16 to $59.04 (0.2%).

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

    $59.16changed to$59.04

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.79 changed to 1.73
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $63.83changed to$59.16

    • 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

    $62.79changed to$63.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $59.01changed to$62.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.69 changed to 1.88
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $61.96changed to$59.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.73 changed to 1.69
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $63.16changed to$61.96

    • 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

    $57.57changed to$63.16

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.54 changed to 1.75
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $55.08changed to$57.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.48 changed to 1.54
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $50.76changed to$55.08

    • 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

    $48.77changed to$50.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.31 changed to 1.36
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $34.82changed to$48.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.92 changed to 1.31
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $34.95changed to$34.82

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $34.78changed to$34.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $34.37changed to$34.78

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.91 changed to 0.92
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $35.86changed to$34.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.01 changed to 0.91
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $35.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$59.04$2.57RVU26D
2026-07-01$59.04$2.57RVU26C
2026-04-01$59.04$2.57RVU26B
2026-01-01$59.04$2.57RVU26A
2025-10-01$59.16$3.14RVU25D
2025-07-01$59.16$3.14RVU25C
2025-04-01$59.16$3.14RVU25B
2025-01-01$59.16$3.14RVU25A
2024-10-01$63.83$2.91RVU24D
2024-07-01$63.83$2.91RVU24C
2024-04-01$63.83$2.91RVU24B
2024-03-09$63.83$2.91RVU24AR
2024-01-01$62.79$2.86RVU24A
2023-10-01$59.01$2.98RVU23D
2023-07-01$59.01$2.98RVU23C
2023-04-01$59.01$2.98RVU23B
2023-01-01$59.01$2.98RVU23A
2022-10-01$61.96$3.08RVU22D
2022-07-01$61.96$3.08RVU22C
2022-04-01$61.96$3.08RVU22B
2022-01-01$61.96$3.08RVU22A
2021-10-01$63.16$3.10RVU21D
2021-07-01$63.16$3.10RVU21C
2021-04-01$63.16$3.10RVU21B
2021-01-01$63.16$3.10RVU21A
2020-10-01$57.57$3.21RVU20D
2020-07-01$57.57$3.21RVU20C
2020-04-01$57.57$3.21RVU20B
2020-01-01$57.57$3.21RVU20A
2019-10-01$55.08$3.20RVU19D
2019-07-01$55.08$3.20RVU19C
2019-04-01$55.08$3.20RVU19B
2019-01-01$55.08$3.20RVU19A
2018-10-01$50.76$3.20RVU18D
2018-07-01$50.76$3.20RVU18C
2018-04-01$50.76$3.20RVU18B
2018-01-01$50.76$3.20RVU18AR1
2017-10-01$48.77$3.17RVU17D
2017-07-01$48.77$3.17RVU17C
2017-04-01$48.77$3.17RVU17B
2017-01-01$48.77$3.17RVU17A
2016-10-01$34.82$3.15RVU16D
2016-07-01$34.82$3.15RVU16C
2016-04-01$34.82$3.15RVU16B
2016-01-01$34.82$3.15RVU16A
2015-10-01$34.95$3.16RVU15D
2015-07-01$34.95$3.16RVU15C
2015-04-01$34.78$3.14RVU15B
2015-01-01$34.78$3.14RVU15A
2014-10-01$34.37$3.13RVU14D
2014-07-01$34.37$3.13RVU14C
2014-04-01$34.37$3.13RVU14B
2014-01-01$34.37$3.13RVU14A
2013-10-01$35.86$2.95RVU13D
2013-07-01$35.86$2.95RVU13C
2013-04-01$35.86$2.95RVU13B
2013-01-01$35.86$2.95RVU13AR

Price 95147 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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