CPT 95024: Percutaneous Allergy Skin Testing with Interpretation and Report
Medicare pays $8 and commercial payers pay $48 on average nationally for this procedure.
CPT code 95024 describes percutaneous allergy skin testing (skin prick/scratch) where the provider introduces allergenic extracts into the skin, observes and interprets immediate hypersensitivity responses, and documents results in a written report specifying the number of tests; this service is an allergy diagnostic test typically performed in an allergy clinic or outpatient office setting and involves direct patient contact for testing and result interpretation.
For related coverage guidance, see recent payer policy updates: Diagnosis of Idiopathic Environmental Intolerance, Allergen Testing, Allergen Testing.
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National Reimbursement Benchmarks
National averages show notable separation: Medicare’s mean of $8 versus BUCA’s mean commercial of $48.4 highlights that commercial payers on average reimburse substantially more than the federal program for CPT 95024. Blue Cross Blue Shield and Aetna have higher mean values closer to the commercial side, while Cigna and UnitedHealth Group sit nearer to Medicare’s level. Dispersion varies across payers. Aetna displays the widest interquartile spread (P75–P25 = $94.0–$7.0 = $87.0), indicating greater variability in allowed rates, while Blue Cross Blue Shield is comparatively tight (P75–P25 = $75.4–$46.8 = $28.6). UnitedHealth Group shows moderate spread ($12.8–$2.9 = $9.9), and Cigna’s spread is relatively small ($10.8–$1.4 = $9.4). BUCA’s interquartile span ($60.1–$28.4 = $31.7) is closer to commercial variability than to Medicare’s very narrow quartiles (P75–P25 = $8–$7 = $1).