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See a sample rate comparisonCPT 80307 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Drug Test Prsmv Chem Anlyzr, Drug Test S Presumptive Any Number Of Drug Classes Any Number Of Devices Or Procedures By Instrument Chemistry Analyzers Eg Utilizing Immunoassay Eg Eia Elisa Emit Fpia Ia Kims Ria Chromatography Eg Gc Hplc And Mass Spectrometry Either With Or Without Chromatography Eg Dart Desi Gc Ms Gc Ms Ms Lc Ms Lc Ms Ms Ldtd Maldi Tof Includes Sample Validation When Performed Per Date Of Service
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Therapeutic Drug Assays |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $62.14 national lab fee schedule rate (2026) · View Medicare rates for 80307 |
| Medicaid Fee Schedule | $60.94 median of the 8 states in the free preview · View Medicaid rates for 80307 |
National average reimbursement for CPT 80307 by major payers:
$54.25
$41.48
$67.43
$96.35
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CPT 80307
5 of 25 sample ratesHigher to lower in this preview
Ram Saha
Mcv Associated Physicians
$82.93Published rateChca Womans Hospital Lp, Woman'S Hospital Of Texas
Chca Womans Hospital Lp
$62.13Published rateHospital Service District No. 1 Of Caldwell Parish, Citizens Medical Center
Citizens Medical Center
$62.13Published rateNorthwest Texas Healthcare System Inc, Northwest Texas Healthcare System
$47.88Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$26.10Published rate
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See a sample payer proposalCPT 80307 vs. Other Therapeutic Drug Assays Codes
The CPT 80307 code is part of the Pathology and Laboratory Procedures services used for Therapeutic Drug Assays. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 80307 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80305-CPT | Low | Drug Test Prsmv Dir Opt Obs, Drug Test S Presumptive Any Number Of Drug Classes Any Number Of Devices Or Procedures Capable Of Being Read By Direct Optical Observation Only Eg Utilizing Immunoassay Eg Dipsticks Cups Cards Or Cartridges Includes Sample Validation When Performed Per Date Of Service |
| 80306-CPT | Low | Drug Test(S) Presumptive Any Number Of Drug Classes Any Number Of Devices Or Procedures; Read By Instrument Assisted Direct Optical Observation (Eg Utilizing Immunoassay [Eg Dipsticks Cups Cards Or Cartridges]) Includes Sample Validation When Performed Per Date Of Service (Desc Revised 1/1/2018) |
| 80307-CPT | Low | Drug Test Prsmv Chem Anlyzr, Drug Test S Presumptive Any Number Of Drug Classes Any Number Of Devices Or Procedures By Instrument Chemistry Analyzers Eg Utilizing Immunoassay Eg Eia Elisa Emit Fpia Ia Kims Ria Chromatography Eg Gc Hplc And Mass Spectrometry Either With Or Without Chromatography Eg Dart Desi Gc Ms Gc Ms Ms Lc Ms Lc Ms Ms Ldtd Maldi Tof Includes Sample Validation When Performed Per Date Of Service |
| 80320-CPT | Low | Pathology And Laboratory, Drug Screen Quantitative Alcohols |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80307 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find the cost of a specific medical procedure or service, especially for your specific location and CPT code, it's recommended to use a specialized tool. You can use Payerprice's fee schedule lookup tool, which allows you to search with a CPT code and your specific location to get detailed pricing information.
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe the services they provide to patients. They are crucial for billing and reimbursement, as they standardize the reporting of medical procedures and services, which directly impacts how healthcare services are priced and paid for.
Healthcare prices can vary significantly due to a multitude of factors, including negotiations between providers and insurance companies, differences in facility costs (e.g., hospital vs. outpatient clinic), geographical location, the complexity of the service, provider experience, and variations in administrative overhead. Understanding these variations can help consumers make more informed choices.
Comparing prices before treatment can help you manage healthcare costs. For accurate, location-specific price comparisons based on CPT codes, it's recommended to use tools like Payerprice's fee schedule lookup tool. This allows you to search for specific services and compare potential costs, helping you make informed decisions.
Not necessarily. While insurance plans cover a significant portion of medical costs, you will typically still be responsible for deductibles, co-payments, and co-insurance. Additionally, some services may not be fully covered, or you may face out-of-network costs. It's always best to contact your insurance provider directly to understand your specific plan benefits and potential out-of-pocket expenses for any given procedure. For specific cost estimates that might factor into your out-of-pocket, using Payerprice can help you understand the underlying service costs.