$53.82–$89.10
95145 covers preparation and provision for one single stinging-insect venom; 95146 is for two single venoms.
On this page
CMS RVU26D · Effective 2026-10-01
95145 Venom antigen Medicare reimbursement rates
Reports supervision of preparing and providing one stinging-insect venom antigen for allergen immunotherapy, counted by the doses prepared and supplied. Compare 95145 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 95145?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$29.43–$48.16
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $18.73 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 95145 pays more and less
109 payment localities
$29.43 to $48.16
Allergy and immunology
About 95145: Single venom antigen preparation
Reports supervision of preparing and providing one stinging-insect venom antigen for allergen immunotherapy, counted by the doses prepared and supplied.
An allergist or allergy practice reports this service for supervising preparation and provision of a single stinging-insect venom antigen used in immunotherapy. A typical case is venom treatment for a patient with a systemic reaction to a specific insect sting, such as a honeybee or yellow jacket. This code represents the antigen service, not the injection itself.
Select the one-venom level based on the antigen supplied, and report units for the doses prepared and provided rather than the number of injections administered. Documentation should identify the venom antigen, the dose quantity prepared or supplied, and the immunotherapy plan. CMS values the service under the physician fee schedule using work, practice expense, and malpractice RVUs; its practice-expense allocation is much higher in the office setting than in a facility. No additional payment rule is identified in the supplied CMS facts.
Where the value comes from
- Work RVU0.06 · 6%
- Practice expense (office) RVU0.95 · 93%
- Malpractice RVU0.01 · 1%
13.7K
Medicare services in 2024 · #1303 by national volume
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.
95145 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$15.09–$24.08
95165 covers single or multiple antigens counted per dose. 95145 is the specific level for one single stinging-insect venom.
95130
No office rateImmntx 1 sting insect
95130 reports the professional service for venom immunotherapy involving one insect. 95145 reports supervision of preparing and providing the venom antigen, counted by dose.
See how rates vary across the country
95145 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$29.43
$42.58
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $36.98 | 1 |
| AL | $29.96 | 1 |
| AR | $29.43 | 1 |
| AZ | $33.04 | 1 |
| CA | $36.99–$48.16 | 29 |
| CO | $36.05 | 1 |
| CT | $36.62 | 1 |
| DC | $39.86 | 1 |
| DE | $33.66 | 1 |
| FL | $32.84–$35.88 | 3 |
| GA | $30.71–$34.65 | 2 |
| GU | $38.28 | 1 |
| HI | $38.28 | 1 |
| IA | $31.17 | 1 |
| ID | $31.35 | 1 |
| IL | $31.50–$35.20 | 4 |
| IN | $31.58 | 1 |
| KS | $30.86 | 1 |
| KY | $30.52 | 1 |
| LA | $30.41–$32.24 | 2 |
| MA | $35.71–$40.27 | 2 |
| MD | $34.44–$39.86 | 3 |
| ME | $31.40–$33.66 | 2 |
| MI | $31.35–$33.19 | 2 |
| MN | $34.75 | 1 |
| MO | $29.68–$32.55 | 3 |
| MS | $29.57 | 1 |
| MT | $34.07 | 1 |
| NC | $31.82 | 1 |
| ND | $33.87 | 1 |
| NE | $31.42 | 1 |
| NH | $35.33 | 1 |
| NJ | $37.10–$39.29 | 2 |
| NM | $31.50 | 1 |
| NV | $34.04 | 1 |
| NY | $32.38–$40.48 | 5 |
| OH | $31.31 | 1 |
| OK | $30.60 | 1 |
| OR | $33.84–$37.54 | 2 |
| PA | $31.45–$35.47 | 2 |
| PR | $34.41 | 1 |
| RI | $35.12 | 1 |
| SC | $31.61 | 1 |
| SD | $33.85 | 1 |
| TN | $31.03 | 1 |
| TX | $31.19–$35.88 | 8 |
| UT | $32.13 | 1 |
| VA | $33.43–$39.86 | 2 |
| VI | $34.41 | 1 |
| VT | $33.59 | 1 |
| WA | $35.70–$41.31 | 2 |
| WI | $32.51 | 1 |
| WV | $30.06 | 1 |
| WY | $33.98 | 1 |
Compare 95145 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $29.96 | Facility $2.49 |
| Alaska* | Office $36.98 | Facility $3.55 |
| Arizona | Office $33.04 | Facility $2.61 |
| Arkansas | Office $29.43 | Facility $2.46 |
| Atlanta | Office $34.65 | Facility $2.75 |
| Austin | Office $35.88 | Facility $2.66 |
| Bakersfield | Office $37.02 | Facility $2.61 |
| Baltimore/Surr. Cntys | Office $36.50 | Facility $2.81 |
| Beaumont | Office $31.19 | Facility $2.62 |
| Brazoria | Office $33.73 | Facility $2.61 |
| Chicago | Office $34.67 | Facility $3.12 |
| Chico | Office $36.99 | Facility $2.58 |
| Colorado | Office $36.05 | Facility $2.64 |
| Connecticut | Office $36.62 | Facility $2.81 |
| Dallas | Office $33.91 | Facility $2.64 |
| Dc + Md/Va Suburbs | Office $39.86 | Facility $2.88 |
| Delaware | Office $33.66 | Facility $2.64 |
| Detroit | Office $33.19 | Facility $2.89 |
| East St. Louis | Office $31.87 | Facility $2.98 |
| El Centro | Office $37.00 | Facility $2.58 |
| Fort Lauderdale | Office $34.75 | Facility $2.95 |
| Fort Worth | Office $33.60 | Facility $2.64 |
| Fresno | Office $36.99 | Facility $2.58 |
| Galveston | Office $33.81 | Facility $2.63 |
| Hanford-Corcoran | Office $36.99 | Facility $2.58 |
| Hawaii, Guam | Office $38.28 | Facility $2.58 |
| Houston | Office $33.99 | Facility $2.81 |
| Idaho | Office $31.35 | Facility $2.47 |
| Indiana | Office $31.58 | Facility $2.48 |
| Iowa | Office $31.17 | Facility $2.44 |
| Kansas | Office $30.86 | Facility $2.47 |
| Kentucky | Office $30.52 | Facility $2.61 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $39.85 | Facility $2.70 |
| Madera | Office $36.99 | Facility $2.58 |
| Manhattan | Office $39.53 | Facility $3.05 |
| Merced | Office $36.99 | Facility $2.58 |
| Metropolitan Boston | Office $40.27 | Facility $2.78 |
| Metropolitan Kansas City | Office $32.13 | Facility $2.64 |
| Metropolitan Philadelphia | Office $35.47 | Facility $2.79 |
| Metropolitan St. Louis | Office $32.55 | Facility $2.66 |
| Miami | Office $35.88 | Facility $3.20 |
| Minnesota | Office $34.75 | Facility $2.45 |
| Mississippi | Office $29.57 | Facility $2.54 |
| Modesto | Office $36.99 | Facility $2.58 |
| Montana** | Office $34.07 | Facility $2.67 |
| Napa | Office $44.12 | Facility $2.74 |
| Nebraska | Office $31.42 | Facility $2.44 |
| Nevada** | Office $34.04 | Facility $2.62 |
| New Hampshire | Office $35.33 | Facility $2.64 |
| New Mexico | Office $31.50 | Facility $2.71 |
| New Orleans | Office $32.24 | Facility $2.70 |
| North Carolina | Office $31.82 | Facility $2.53 |
| North Dakota** | Office $33.87 | Facility $2.47 |
| Northern Nj | Office $39.29 | Facility $2.87 |
| Nyc Suburbs/Long Island | Office $40.48 | Facility $3.15 |
| Ohio | Office $31.31 | Facility $2.65 |
| Oklahoma | Office $30.60 | Facility $2.56 |
| Oxnard-Thousand Oaks-Ventura | Office $39.77 | Facility $2.66 |
| Portland | Office $37.54 | Facility $2.66 |
| Poughkpsie/N Nyc Suburbs | Office $37.24 | Facility $2.86 |
| Puerto Rico | Office $34.41 | Facility $2.67 |
| Queens | Office $40.12 | Facility $3.01 |
| Redding | Office $36.99 | Facility $2.58 |
| Rest Of California | Office $36.99 | Facility $2.58 |
| Rest Of Florida | Office $32.84 | Facility $2.83 |
| Rest Of Georgia | Office $30.71 | Facility $2.70 |
| Rest Of Illinois | Office $31.50 | Facility $2.83 |
| Rest Of Louisiana | Office $30.41 | Facility $2.62 |
| Rest Of Maine | Office $31.40 | Facility $2.52 |
| Rest Of Maryland | Office $34.44 | Facility $2.67 |
| Rest Of Massachusetts | Office $35.71 | Facility $2.65 |
| Rest Of Michigan | Office $31.35 | Facility $2.69 |
| Rest Of Missouri | Office $29.68 | Facility $2.62 |
| Rest Of New Jersey | Office $37.10 | Facility $2.82 |
| Rest Of New York | Office $32.38 | Facility $2.56 |
| Rest Of Oregon | Office $33.84 | Facility $2.57 |
| Rest Of Pennsylvania | Office $31.45 | Facility $2.63 |
| Rest Of Texas | Office $32.42 | Facility $2.62 |
| Rest Of Washington | Office $35.70 | Facility $2.64 |
| Rhode Island | Office $35.12 | Facility $2.69 |
| Riverside-San Bernardino-Ontario | Office $37.10 | Facility $2.69 |
| Sacramento-Roseville-Folsom | Office $39.16 | Facility $2.64 |
| Salinas | Office $39.02 | Facility $2.63 |
| San Diego-Chula Vista-Carlsbad | Office $40.20 | Facility $2.64 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $47.09 | Facility $2.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $47.08 | Facility $2.81 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $48.16 | Facility $2.89 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $48.11 | Facility $2.84 |
| San Luis Obispo-Paso Robles | Office $38.36 | Facility $2.60 |
| Santa Cruz-Watsonville | Office $40.78 | Facility $2.63 |
| Santa Maria-Santa Barbara | Office $39.24 | Facility $2.63 |
| Santa Rosa-Petaluma | Office $41.21 | Facility $2.65 |
| Seattle (King Cnty) | Office $41.31 | Facility $2.79 |
| South Carolina | Office $31.61 | Facility $2.60 |
| South Dakota** | Office $33.85 | Facility $2.45 |
| Southern Maine | Office $33.66 | Facility $2.55 |
| Stockton | Office $36.99 | Facility $2.58 |
| Suburban Chicago | Office $35.20 | Facility $2.95 |
| Tennessee | Office $31.03 | Facility $2.49 |
| Utah | Office $32.13 | Facility $2.62 |
| Vallejo | Office $44.10 | Facility $2.72 |
| Vermont | Office $33.59 | Facility $2.50 |
| Virgin Islands | Office $34.41 | Facility $2.67 |
| Virginia | Office $33.43 | Facility $2.57 |
| Visalia | Office $36.99 | Facility $2.58 |
| West Virginia | Office $30.06 | Facility $2.77 |
| Wisconsin | Office $32.51 | Facility $2.43 |
| Wyoming** | Office $33.98 | Facility $2.59 |
| Yuba City | Office $36.99 | Facility $2.58 |
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95145 billing questions
When is 95145 used instead of 95146?
Use 95145 for one single stinging-insect venom antigen. Use 95146 when the preparation and provision covers two single venoms.
Are units based on injections or doses?
Units represent doses of antigen prepared and provided, not the number of injections administered. Keep the dose quantity supported by the preparation and supply record.
Does 95145 report the injection?
No. It reports supervision of antigen preparation and provision. Injection services are represented by separate immunotherapy service codes when applicable.
What documentation supports this code?
Record the specific venom antigen, the number of doses prepared or supplied, and the patient's immunotherapy plan. The record should support why the one-venom level was selected.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,47995133,,Immntx 4 sting insects,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48095134,,Immntx 5 sting insects,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48195144,,Antigen therapy services,A,,0.06,0.56,,0.01,,0.01,0.63,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48295145,,Antigen therapy services,A,,0.06,0.95,,0.01,,0.01,1.02,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48395146,,Antigen therapy services,A,,0.06,1.80,,0.01,,0.01,1.87,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48495147,,Antigen therapy services,A,,0.06,1.73,,0.01,,0.01,1.80,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48595148,,Antigen therapy services,A,,0.06,2.60,,0.01,,0.01,2.67,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00