Find policies, billing codes, payers, states, and providers
CPT 95117: Allergy Immunotherapy, Multiple Injections
CPT code 95117 covers allergy immunotherapy injection sessions in which a patient receives two or more allergenic extract injections at a single visit. This code captures a common clinical service used to desensitize patients with allergic conditions and can affect billing patterns, practice workflow, and payer coverage decisions nationwide. Nationally, allergy immunotherapy is an established outpatient treatment for allergic rhinitis, allergic conjunctivitis, insect venom reactions, and asthma management in select patients.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of clinical context for use of 95117, common service settings and related procedure codes, and the typical billing considerations that affect reimbursement and coding accuracy. The publication also reviews benchmarks and policy considerations relevant to allergy injection services, highlights related preparation and antigen codes, and summarizes diagnostic conditions commonly associated with immunotherapy.
This summary provides clinicians, billing professionals, and policy analysts a concise reference for the clinical purpose of 95117, the typical care setting, and the payer landscape to inform documentation, coding alignment, and administrative decision-making.
Customize your policy alerts
Sign up for cpt 95117 policy alerts
Get alerted when payer policies referencing 95117 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 95117 describes administration of allergenic extracts where the patient receives two or more injections at a single visit. The procedure is an allergy immunotherapy injection session intended to desensitize a patient to specific allergens through subcutaneous injection of prepared antigen extracts.
Service type: Allergy immunotherapy injection (multiple injections per visit)
Typical site of service: Outpatient clinic or physician office
National Reimbursement Benchmarks
Across national payers, Medicare’s mean rate for CPT 95117 of $12.8 sits well below BUCA’s mean commercial level of $44.3, indicating a sizable gap between federal program reimbursement and average commercial payments. That gap of $31.5 highlights how commercial portfolios can pay meaningfully more than Medicare for the same code, with BUCA representing a mid-to-high commercial mean among the listed payers.
Dispersion measured as the interquartile range (P75 minus P25) varies notably: Blue Cross Blue Shield shows the widest IQR at $29.4 ($78.4 - $49.0), while Aetna’s IQR is relatively tight at $11.0 ($20.2 - $9.0). UnitedHealth Group and Cigna fall in the middle with IQRs of $10.7 ($22.3 - $11.6) and $9.9 ($21.9 - $12.0) respectively; BUCA’s IQR is $9.9 ($54.0 - $36.1) and Medicare’s IQR is $1.0 ($13 - $12).