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See a sample rate comparisonCPT 80417 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.
Kidney Enzyme (Renin) Test, Renin Is An Enzyme Made By The Kidneys. A Stimulation Panel Tests Concerns About Adrenal Gland Function Or Blood Pressure. A Baseline Blood Sample Is Collected A Diuretic Or Blood Pressure Drug Given And Then A Series Of Samples Are Taken And Studied.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Evocative/Suppression Testing Procedures |
| Common Place of Service | 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory Q4 - Service for ordering / referring physician qualifies as a service exemption for laboratory services |
| Complexity Level | Low |
| Medicare Fee Schedule | $43.99 national lab fee schedule rate (2026) · View Medicare rates for 80417 |
| Medicaid Fee Schedule | $43.44 median of the 8 states in the free preview · View Medicaid rates for 80417 |
National average reimbursement for CPT 80417 by major payers:
$38.65
$31.50
$49.83
$67.12
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CPT 80417
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$96.78Published rateAaron Askew
Praxis Health, P.C.
$48.39Published rateHospital Service District 2 Of The Parish Of Tangipahoa State Of La., Hood Memorial Hospital
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
$43.99Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Faris
Prisma Health - Upstate
$39.59Published rateBrittany Ptachick
Hroa 401k Plan
$18.48Published rate
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See a sample payer proposalCPT 80417 vs. Other Evocative/Suppression Testing Procedures Codes
The CPT 80417 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 80417 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 |
|---|---|---|
| 80416-CPT | Low | Kidney Enzyme (Renin) Test, Renin Is An Enzyme Made By The Kidneys. A Stimulation Panel Tests Concerns About Adrenal Gland Function Or Blood Pressure. A Baseline Blood Sample Is Collected A Diuretic Or Blood Pressure Drug Given And Then A Series Of Samples Are Taken And Studied. |
| 80417-CPT | Low | Kidney Enzyme (Renin) Test, Renin Is An Enzyme Made By The Kidneys. A Stimulation Panel Tests Concerns About Adrenal Gland Function Or Blood Pressure. A Baseline Blood Sample Is Collected A Diuretic Or Blood Pressure Drug Given And Then A Series Of Samples Are Taken And Studied. |
| 81000-CPT | Low | Urine Analysis, Urine Test That Checks Ph And Looks For Substances Such As Blood Crystals Bile And White Blood Cells (Antibodies). These May Be Viewed Under A Microscope Or Detected With Dip Sticks Or Colorizing Tablets. A Computer Analysis May Be Done As Well. |
| 81050-CPT | Low | Urine Flow Study, Several Urine Collections Are Made Over A Given Period Such As 24 Hours. Both The Volume And Speed Are Measured Usually As Amount Per Second. The Results May Be Used As A Baseline For Other Tests Or Simply To Check A Persons Ability To Urinate. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80417. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80417 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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