Average Medicaid Allergy Testing Payments in Rochester, NY: $120.28
Avg. Paid
$120.28
Range
$62.03 – $303.63
Total Claims
6,078
Providers
21
Typical Payment Range
Typical Medicaid Allergy Testing payments fall between $75.91 and $183.37 per claim (median: $121.31). The top 10% of payments exceed $253.71.
Based on per-provider averages across all Medicaid claims in this category.
Allergy testing identifies specific substances that trigger allergic reactions. Methods include skin prick tests, blood tests, and patch testing.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Allergy Testing in Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rochester General Hospital
1425 Portland Ave |
$303.63 | 850 | 848 |
|
Syed Shahzad Mustafa
2300 W Ridge Rd |
$96.60 | 820 | 818 |
|
Jennifer Pier
601 Elmwood Ave |
$74.98 | 788 | 787 |
|
Peter Capucilli
10 Hagen Dr Ste 20 |
$69.48 | 702 | 702 |
|
Allison Ramsey
222 Alexander St |
$105.86 | 553 | 551 |
|
Denise Sanchez Tejera
222 Alexander St Ste 3000 |
$86.60 | 484 | 481 |
|
Linh-An C Tuong
222 Alexander St Ste 3000 |
$77.52 | 401 | 398 |
|
Amy Duflo Burris
601 Elmwood Ave |
$69.92 | 299 | 298 |
|
Sara Sugra Patrawala
601 Elmwood Ave |
$100.40 | 215 | 215 |
|
Mariola B Kubicka
300 Meridian Centre |
$151.59 | 214 | 211 |
|
Katherine L Tuttle
Strong Memorial Hospital |
$79.29 | 164 | 163 |
|
Lisa Marie Wilson
2760 Monroe Ave Ste 401B |
$67.21 | 127 | 127 |
|
Albert S Hartel
300 Meridian Centre |
$186.94 | 125 | 125 |
|
Sarah Elizabeth Taylor
601 Elmwood Ave |
$62.03 | 89 | 89 |
|
Luanna Yang
10 Hagen Dr Ste 20 |
$95.79 | 76 | 74 |
|
Mahta Mortezavi
222 Alexander St Ste 3000 |
$182.39 | 58 | 58 |
|
Jessica Lynne Stern
601 Elmwood Ave # 777R |
$86.35 | 30 | 30 |
|
Anitha Vempaty Shrikhande
99 Canal Landing Blvd |
$126.97 | 28 | 28 |
|
Theresa A Bingemann
222 Alexander St |
$90.32 | 28 | 28 |
|
Maxwell Norris
601 Elmwood Ave Box 635 |
$79.15 | 14 | 14 |
|
Amy M Saleh
2561 Lac De Ville Blvd |
$104.95 | 13 | 13 |
What to Expect: Allergy Testing
Skin prick testing takes about 30-40 minutes. Small amounts of allergens are placed on your skin (usually your forearm or back) through tiny pricks. Reactions appear within 15-20 minutes as small raised bumps. Blood tests (specific IgE) require a simple blood draw and results take a few days. You may need to stop antihistamines before skin testing.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 95004 | Allergy skin prick test | $162.28 | 2,319,106 | 4,048 |
| 95024 | Allergy test intradermal | $76.96 | 281,520 | 763 |
| 95018 | Allergy test drugs biologicals | $43.84 | 26,492 | 72 |
| 95076 | Ingestion challenge test init | $119.40 | 15,748 | 63 |
| 95044 | Allergy patch test | $208.82 | 11,522 | 78 |
| 95060 | Ophthalmic mucous membrane tst | $16.04 | 7,289 | 9 |
| 95027 | Allergy test airborne delayed | $115.62 | 5,808 | 18 |
| 95065 | Direct nasal mucous memb test | $19.48 | 2,329 | 4 |
| 95070 | Inhalation bronchial test | $136.79 | 2,254 | 4 |
| 95017 | Allergy test insect venoms | $37.21 | 2,045 | 4 |
| 95079 | Ingestion challenge test addl | $128.08 | 699 | 10 |
| 95052 | Photo patch test | — | — | — |
| 95056 | Photosensitivity test | — | — | — |
| 95071 | Inhalation challenge spirom | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Allergy Testing cost in Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Allergy Testing in Rochester, NY is $120.28 per claim, based on 6,078 claims from 21 providers. Typical payments fall between $75.91 and $183.37. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Allergy Testing in Rochester, NY?
There are 21 Medicaid providers offering Allergy Testing related services in Rochester, NY according to public payment data.
What is the price range for Allergy Testing in Rochester, NY?
Medicaid reimbursement for Allergy Testing in Rochester, NY ranges from $62.03 to $303.63 per claim, with an average of $120.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Allergy Testing in Other Cities
Brooklyn, NY
Avg $176.26
66,536 claims · 108 providers
New York, NY
Avg $180.24
59,302 claims · 87 providers
Charlotte, NC
Avg $145.23
47,899 claims · 58 providers
Louisville, KY
Avg $112.67
44,402 claims · 32 providers
Lexington, KY
Avg $111.96
34,502 claims · 17 providers
Phoenix, AZ
Avg $498.72
34,092 claims · 63 providers
Knoxville, TN
Avg $167.63
23,636 claims · 25 providers
Fresno, CA
Avg $86.18
22,651 claims · 16 providers
Other Procedures in Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
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Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
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Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
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Physical Therapy
Avg $59.14
727,107 claims