Professional service for single injection of allergen
Medicare pricing data for 9,874 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Professional service for single injection of allergen (HCPCS code 95115) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.41, but hospitals typically charge $26.13 — a 2.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.41, your out-of-pocket cost would be approximately $1.88. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $6.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $12 | $30 | 12 | 677 | +29.9% |
| California | $12 | $30 | 416 | 33,812 | +22.5% |
| New Jersey | $11 | $30 | 180 | 5,648 | +19.6% |
| Hawaii | $11 | $35 | 13 | 529 | +16.2% |
| Maryland | $11 | $34 | 185 | 19,068 | +15.4% |
| Alaska | $11 | $36 | 24 | 831 | +15.3% |
| New York | $11 | $37 | 406 | 11,024 | +15.2% |
| Connecticut | $11 | $37 | 77 | 3,220 | +13.4% |
| Washington | $10 | $28 | 209 | 10,364 | +11.4% |
| Massachusetts | $10 | $33 | 169 | 8,788 | +11.2% |
| Rhode Island | $10 | $26 | 18 | 1,290 | +10.7% |
| New Hampshire | $10 | $31 | 27 | 2,071 | +10.2% |
| Virginia | $10 | $26 | 370 | 26,391 | +8.3% |
| Colorado | $10 | $26 | 169 | 13,342 | +8.0% |
| Delaware | $10 | $22 | 33 | 3,097 | +7.2% |
| Puerto Rico | $10 | $10 | 6 | 340 | +5.6% |
| Illinois | $10 | $29 | 212 | 9,774 | +5.3% |
| Minnesota | $10 | $36 | 177 | 2,009 | +4.6% |
| Wyoming | $10 | $29 | 60 | 2,704 | +3.9% |
| Florida | $10 | $24 | 496 | 43,794 | +3.1% |
| Pennsylvania | $10 | $25 | 430 | 20,644 | +3.1% |
| North Dakota | $10 | $40 | 28 | 266 | +3.0% |
| Oregon | $10 | $28 | 88 | 6,851 | +2.7% |
| Nevada | $10 | $43 | 38 | 1,941 | +2.6% |
| Maine | $10 | $24 | 10 | 290 | +2.0% |
| Montana | $10 | $22 | 35 | 1,839 | +1.2% |
| Texas | $10 | $25 | 884 | 98,086 | +1.0% |
| Arizona | $9 | $22 | 223 | 20,619 | +0.9% |
| Michigan | $9 | $25 | 277 | 23,991 | 0.0% |
| Wisconsin | $9 | $49 | 124 | 4,150 | -1.0% |
| South Dakota | $9 | $22 | 45 | 1,856 | -1.3% |
| North Carolina | $9 | $26 | 418 | 38,498 | -3.2% |
| Utah | $9 | $23 | 133 | 6,349 | -3.5% |
| Georgia | $9 | $30 | 316 | 17,421 | -3.8% |
| South Carolina | $9 | $26 | 227 | 29,464 | -4.3% |
| New Mexico | $9 | $28 | 68 | 6,657 | -4.6% |
| Ohio | $9 | $25 | 353 | 25,756 | -4.6% |
| Iowa | $9 | $31 | 116 | 8,009 | -5.5% |
| Kansas | $9 | $25 | 154 | 5,931 | -5.7% |
| Louisiana | $9 | $26 | 132 | 14,329 | -6.4% |
| Missouri | $9 | $27 | 234 | 22,999 | -6.7% |
| Idaho | $9 | $24 | 43 | 4,512 | -7.0% |
| Indiana | $9 | $25 | 262 | 11,731 | -7.0% |
| Nebraska | $9 | $24 | 167 | 6,361 | -7.0% |
| Oklahoma | $9 | $21 | 166 | 15,004 | -7.1% |
| West Virginia | $9 | $25 | 60 | 6,176 | -7.9% |
| Alabama | $9 | $19 | 177 | 15,480 | -8.7% |
| Kentucky | $9 | $23 | 425 | 22,564 | -9.2% |
| Tennessee | $8 | $25 | 475 | 39,483 | -10.7% |
| Mississippi | $8 | $28 | 193 | 15,170 | -12.0% |
| Arkansas | $8 | $23 | 299 | 29,401 | -12.1% |
| Vermont | $8 | $28 | 11 | 123 | -19.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber