Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
Medicare pricing data for 12,837 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
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS code 95251) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.75, but hospitals typically charge $104.98 — a 3.2x 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 $32.75, your out-of-pocket cost would be approximately $6.55. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $25.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $41 | $151 | 44 | 1,044 | +25.3% |
| New York | $36 | $138 | 893 | 41,214 | +10.5% |
| District of Columbia | $36 | $100 | 35 | 910 | +9.9% |
| New Jersey | $36 | $101 | 398 | 27,086 | +9.7% |
| California | $36 | $121 | 760 | 51,829 | +9.0% |
| Puerto Rico | $35 | $93 | 35 | 378 | +6.6% |
| Maryland | $34 | $94 | 261 | 20,017 | +5.2% |
| Connecticut | $34 | $122 | 214 | 8,744 | +4.9% |
| Massachusetts | $34 | $131 | 384 | 18,752 | +2.8% |
| Florida | $34 | $89 | 659 | 52,156 | +2.4% |
| Illinois | $33 | $135 | 518 | 32,001 | +1.8% |
| Hawaii | $33 | $74 | 31 | 841 | +1.4% |
| Delaware | $33 | $85 | 51 | 4,010 | +1.1% |
| Colorado | $33 | $109 | 160 | 7,970 | +0.9% |
| Virginia | $33 | $88 | 294 | 17,692 | +0.6% |
| Rhode Island | $33 | $94 | 49 | 1,454 | +0.4% |
| Texas | $33 | $101 | 813 | 49,024 | +0.2% |
| Pennsylvania | $33 | $93 | 598 | 30,868 | -0.1% |
| Washington | $33 | $100 | 339 | 14,266 | -0.6% |
| Nevada | $33 | $109 | 79 | 4,551 | -0.7% |
| Michigan | $32 | $88 | 556 | 18,483 | -0.9% |
| Arizona | $32 | $83 | 233 | 13,264 | -1.2% |
| Georgia | $32 | $101 | 372 | 20,741 | -2.6% |
| Missouri | $32 | $98 | 261 | 16,894 | -2.8% |
| New Hampshire | $32 | $120 | 86 | 5,550 | -3.4% |
| Oregon | $32 | $101 | 215 | 5,310 | -3.5% |
| North Carolina | $32 | $99 | 540 | 23,601 | -3.7% |
| Wyoming | $31 | $108 | 11 | 76 | -3.8% |
| Alabama | $31 | $66 | 185 | 9,465 | -4.2% |
| South Carolina | $31 | $102 | 249 | 12,754 | -4.7% |
| Ohio | $31 | $103 | 478 | 22,964 | -5.1% |
| Minnesota | $31 | $135 | 390 | 9,205 | -5.2% |
| Montana | $31 | $87 | 60 | 3,417 | -5.7% |
| New Mexico | $31 | $91 | 67 | 1,983 | -5.7% |
| Oklahoma | $31 | $90 | 207 | 9,890 | -5.8% |
| Vermont | $31 | $148 | 38 | 1,302 | -6.3% |
| South Dakota | $31 | $103 | 103 | 3,631 | -6.3% |
| Wisconsin | $31 | $204 | 241 | 9,343 | -6.5% |
| Arkansas | $31 | $85 | 116 | 8,277 | -6.7% |
| Louisiana | $30 | $83 | 209 | 9,508 | -7.0% |
| Indiana | $30 | $97 | 252 | 17,146 | -7.3% |
| Utah | $30 | $83 | 91 | 4,881 | -7.3% |
| Mississippi | $30 | $76 | 94 | 8,384 | -8.0% |
| Kentucky | $30 | $90 | 165 | 8,780 | -8.1% |
| West Virginia | $30 | $99 | 80 | 3,534 | -8.4% |
| Nebraska | $30 | $100 | 138 | 6,834 | -8.4% |
| North Dakota | $30 | $108 | 51 | 1,628 | -8.4% |
| Iowa | $30 | $103 | 194 | 7,676 | -9.0% |
| Kansas | $30 | $91 | 136 | 9,656 | -9.2% |
| Maine | $30 | $97 | 48 | 2,022 | -9.2% |
| Tennessee | $30 | $99 | 263 | 16,377 | -9.3% |
| Idaho | $30 | $81 | 84 | 3,373 | -9.8% |
⚠️ 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