CPT 95056 Allergy/Immunology

Photo tests Cost

Body System: General

Medicare Facility Rate
$52
CMS PFS CY2026
Medicare Non-Facility Rate
$52
Office/clinic setting
Hospital Outpatient
$136
OPPS rate

Frequently Asked Questions

How much does Photo tests cost?

The Medicare facility rate is $52. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.

How much does Photo tests cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $52.

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