Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 80402 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.
Adrenal Gland Enzyme Testing, A Variation Of The Acth Stimulation Panel This Test Checks Androgen As Well As Cortisol. The Goal Is To Verify The Presence Or Absence Of Specific Enzymes That Can Interfere With Normal Development Of Secondary Sexual Characteristics.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Evocative/Suppression Testing Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $86.96 national lab fee schedule rate (2026) · View Medicare rates for 80402 |
| Medicaid Fee Schedule | $85.875 median of the 8 states in the free preview · View Medicaid rates for 80402 |
National average reimbursement for CPT 80402 by major payers:
$73.19
$61.47
$91.34
$125.83
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 80402.
CPT 80402
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$191.31Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$87.95Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$78.26Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$60.73Published rateAll Ways Homecare Inc
$40.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 80402 vs. Other Evocative/Suppression Testing Procedures Codes
The CPT 80402 code is part of the Pathology and Laboratory Procedures services used for Evocative/Suppression Testing Procedures. 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 80402 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 |
|---|---|---|
| 80400-CPT | Low | Adrenal Insufficiency Test, The Adrenal Reserve Test Or Acth Stimulation Panel Evaluates How Well The Adrenal Glands Release Cortisol In Response To Adrenocorticotrophic Hormone. The Results Can Identify Functional Problems In The Glands As Well As With Production Of Hormones. |
| 80402-CPT | Low | Adrenal Gland Enzyme Testing, A Variation Of The Acth Stimulation Panel This Test Checks Androgen As Well As Cortisol. The Goal Is To Verify The Presence Or Absence Of Specific Enzymes That Can Interfere With Normal Development Of Secondary Sexual Characteristics. |
| 80406-CPT | Low | Adrenal Gland Enzyme Testing, A Variation Of The Acth Stimulation Panel This Test Checks Androgen As Well As Cortisol. The Goal Is To Verify The Presence Or Absence Of Specific Enzymes That Can Interfere With Normal Development Of Secondary Sexual Characteristics. |
| 80408-CPT | Low | Aldosterone Hormone Test, Aldosterone Works With Renin A Kidney Enzyme To Regulate Salt And Potassium Levels. Because Of This Renin Often Is Measured Along With Aldosterone. Testing Can Show Problems With The Heart Kidney Liver Or Adrenal Glands. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80402 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 80402) and we'll show you how you compare in 15 minutes or less.