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See a sample rate comparisonCPT 80436 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 Insufficiency Test, This Adrenal Insufficiency Test Delivers A Dose Of Metyrapone To Stimulate Activity Along The Hypothalamus-Pituitary Gland-Adrenal Gland (Hpa) Axis. Cortisol And Other Stress Steroids Will Be Produced Based Upon How Well These Three Glands Work Together.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Evocative/Suppression Testing Procedures |
| Common Place of Service | 81 - Independent Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $91.16 national lab fee schedule rate (2026) · View Medicare rates for 80436 |
| Medicaid Fee Schedule | $90.02 median of the 8 states in the free preview · View Medicaid rates for 80436 |
National average reimbursement for CPT 80436 by major payers:
$76.70
$64.24
$94.27
$134.40
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CPT 80436
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$200.55Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$92.22Published rateOconee Medical Center
Prisma Health - Upstate
$82.04Published rateAnn Steck
$54.70Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$38.29Published rate
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See a sample payer proposalCPT 80436 vs. Other Evocative/Suppression Testing Procedures Codes
The CPT 80436 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 80436 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 |
|---|---|---|
| 80420-CPT | Low | Test For Cushings Syndrome, The Dexamethasone Suppression Test Is An Evaluation For Cushings Syndrome In Which The Adrenal Glands Make Too Much Cortisol. Two Blood Samples Are Taken To Compare: One Before A Dose Of Dexamethasone And Another The Next Morning. |
| 80422-CPT | Low | Glucagon Test Series, The Glucagon Tolerance Test Helps Diagnose Hypoglycemic And Insulin Conditions. A Two-Minute Glucagon Iv Injection Causes An Insulin Peak. Glucose And Insulin Levels Are Measured At Baseline And Timed Intervals. |
| 80424-CPT | Low | Test For Adrenal Gland Tumor, This Version Of The Glucagon Tolerance Test Helps Diagnose Pheochromocytoma An Adrenal Gland Tumor. Glucagon Is Injected Through An Iv Over Two Minutes. Adrenalin Noradrenalin And Metanephrine Levels Are Measured At Baseline And Timed Intervals. |
| 80436-CPT | Low | Adrenal Insufficiency Test, This Adrenal Insufficiency Test Delivers A Dose Of Metyrapone To Stimulate Activity Along The Hypothalamus-Pituitary Gland-Adrenal Gland (Hpa) Axis. Cortisol And Other Stress Steroids Will Be Produced Based Upon How Well These Three Glands Work Together. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80436 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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