Average Medicaid Allergy Testing Payments
Typical Medicaid Allergy Testing reimbursement across 1,407 cities
Avg. Medicaid Paid
$151.91
Price Range
$0.00 – $1,849
Total Claims
2.6M
Cities
1407
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.
About This Procedure
Allergy testing identifies specific substances that trigger allergic reactions. Methods include skin prick tests, blood tests, and patch testing.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Grand Rapids, MI | $65.52 | $57.34 – $89.66 | 8,808 | 5 |
| Bakersfield, CA | $172.04 | $56.41 – $207.06 | 8,767 | 6 |
| Colorado Springs, CO | $76.62 | $28.14 – $130.73 | 8,763 | 14 |
| West Palm Beach, FL | $159.00 | $0.00 – $352.08 | 8,713 | 5 |
| Suffern, NY | $125.41 | $125.23 – $251.10 | 8,573 | 2 |
| Riverside, CA | $112.02 | $20.17 – $112.85 | 8,572 | 3 |
| San Antonio, TX | $255.72 | $155.37 – $287.66 | 8,565 | 14 |
| Voorhees, NJ | $221.77 | $26.21 – $274.51 | 8,491 | 4 |
| Battle Creek, MI | $90.65 | $90.17 – $146.82 | 8,469 | 3 |
| Philadelphia, PA | $47.31 | $4.81 – $291.56 | 8,392 | 27 |
| Greenville, NC | $124.64 | $93.13 – $151.28 | 8,261 | 3 |
| Albany, NY | $106.30 | $55.58 – $148.83 | 8,241 | 17 |
| Lakewood, NJ | $143.43 | $142.60 – $216.89 | 8,221 | 2 |
| Fort Collins, CO | $90.21 | $57.92 – $107.70 | 8,173 | 9 |
| Staten Island, NY | $235.52 | $33.23 – $266.67 | 8,136 | 10 |
| Norwalk, CA | $76.63 | $75.35 – $81.63 | 8,116 | 2 |
| Jacksonville, FL | $118.19 | $1.39 – $290.90 | 8,063 | 8 |
| Dayton, OH | $75.89 | $6.27 – $95.58 | 7,975 | 5 |
| Dearborn, MI | $77.86 | $68.03 – $140.76 | 7,969 | 6 |
| Rancho Cucamonga, CA | $119.35 | $114.94 – $184.51 | 7,830 | 2 |
| Roseville, CA | $55.41 | $0.00 – $164.19 | 7,670 | 8 |
| Granada Hills, CA | $39.97 | $39.97 – $39.97 | 7,663 | 1 |
| Charleston, SC | $133.42 | $66.24 – $160.16 | 7,620 | 14 |
| Metairie, LA | $183.93 | $128.48 – $240.20 | 7,472 | 7 |
| Raleigh, NC | $109.69 | $50.35 – $163.29 | 7,440 | 10 |
| Norwalk, CT | $100.44 | $57.18 – $101.22 | 7,413 | 3 |
| Pittsfield, MA | $79.88 | $79.88 – $79.88 | 7,376 | 1 |
| Elmhurst, NY | $170.93 | $23.12 – $255.41 | 7,366 | 10 |
| Garden Grove, CA | $71.52 | $71.52 – $71.52 | 7,333 | 1 |
| Birmingham, AL | $97.40 | $33.19 – $179.56 | 7,305 | 14 |
| Astoria, NY | $232.54 | $120.53 – $343.11 | 7,303 | 5 |
| Tupelo, MS | $99.82 | $47.22 – $102.09 | 7,246 | 3 |
| Shreveport, LA | $260.84 | $58.83 – $534.77 | 7,232 | 10 |
| New Albany, IN | $131.87 | $125.20 – $141.87 | 7,197 | 4 |
| Charleston, WV | $114.68 | $73.55 – $117.17 | 7,134 | 6 |
| West Nyack, NY | $229.30 | $102.41 – $258.80 | 7,079 | 3 |
| Los Angeles, CA | $123.72 | $0.00 – $279.55 | 7,018 | 21 |
| Rego Park, NY | $179.56 | $124.89 – $226.08 | 7,015 | 6 |
| Duncanville, TX | $274.33 | $274.33 – $274.33 | 6,972 | 1 |
| Southfield, MI | $157.30 | $87.51 – $171.93 | 6,943 | 2 |
| Glendale, AZ | $205.69 | $159.71 – $224.54 | 6,898 | 7 |
| Wethersfield, CT | $90.37 | $66.24 – $103.79 | 6,824 | 2 |
| West Des Moines, IA | $140.04 | $46.33 – $230.31 | 6,817 | 8 |
| Middle Village, NY | $174.90 | $171.55 – $198.59 | 6,812 | 2 |
| Greensboro, NC | $151.93 | $86.56 – $178.41 | 6,763 | 6 |
| Palm Springs, CA | $172.87 | $114.42 – $173.38 | 6,607 | 2 |
| Chandler, AZ | $207.01 | $140.66 – $374.06 | 6,583 | 12 |
| Midland, TX | $245.01 | $213.20 – $245.08 | 6,583 | 2 |
| Dallas, TX | $399.56 | $25.33 – $717.29 | 6,568 | 19 |
| Elkins, WV | $35.61 | $31.77 – $38.62 | 6,482 | 2 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.