Other diagnostics

95004 - RVUs & Medicare payment (2026)

Allergy skin tests, percutaneous, per test.

Component	Non-facility	Facility
Work RVU	0.01	0.01
Practice expense RVU	0.09	0.09
Malpractice RVU	0.01	0.01
Total RVUs	0.11	0.11
National payment (CF $33.4009)	$3.67	$3.67
Qualifying APM payment (CF $33.5675)	$3.69	$3.69

How 95004 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 95004 ranges from $3.09 in Arkansas (AR) to $4.88 in San Jose-Sunnyvale-Santa Clara (CA); calculate 95004 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $4.88 San Jose-Sunnyvale-Santa Clara (CA) $4.84 San Francisco-Oakland-Berkeley (CA) $4.76 San Francisco-Oakland-Berkeley (CA) $4.75 NYC Suburbs/Long Island (NY) $4.55 Napa (CA) $4.49 Vallejo (CA) $4.47 Queens (NY) $4.39 National average $3.67 … 97 more localities between … Iowa (IA) $3.22 Mississippi (MS) $3.17 Alabama (AL) $3.15 Arkansas (AR) $3.09

Non-facility payment for 95004 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

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Frequently asked questions

How much does Medicare pay for 95004 in 2026?

The national non-facility payment is $3.67 and the facility payment is $3.67, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 95004?

The 2026 work RVU for 95004 is 0.01. Total RVUs are 0.11 in the non-facility setting and 0.11 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.