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 81463 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
So Gsap Cl Fr Cpy Nmbr Mcrst, Solid Organ Neoplasm Genomic Sequence Analysis Panel Cell Free Nucleic Acid Eg Plasma Interrogation For Sequence Variants Dna Analysis Copy Number Variants And Microsatellite Instability
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| Complexity Level | High |
| Medicare Fee Schedule | $1,345.31 national lab fee schedule rate (2026) · View Medicare rates for 81463 |
| Medicaid Fee Schedule | $1,278.045 median of the 8 states in the free preview · View Medicaid rates for 81463 |
National average reimbursement for CPT 81463 by major payers:
$1,204.44
$1,207.65
$2,567.26
$1,985.27
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 81463.
CPT 81463
5 of 25 sample ratesHigher to lower in this preview
Mountainside Family Practice Associates
Atlantic Health System Inc
$1,798.48Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$807.19Published rateIrwin County Hospital
$807.19Published rateMiguel Arenas
Miguel A Arenas Md PC
$565.03Published rateKristina Jimenez
Miguel A Arenas Md PC
$565.03Published 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 81463 vs. Other Genomic Sequencing Procedures and Other Molecular Multianalyte Assays Codes
The CPT 81463 code is part of the Pathology and Laboratory Procedures services used for Genomic Sequencing Procedures and Other Molecular Multianalyte 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 81463 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 |
|---|---|---|
| 81463-CPT | High | So Gsap Cl Fr Cpy Nmbr Mcrst, Solid Organ Neoplasm Genomic Sequence Analysis Panel Cell Free Nucleic Acid Eg Plasma Interrogation For Sequence Variants Dna Analysis Copy Number Variants And Microsatellite Instability |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81463. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81463 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 81463) and we'll show you how you compare in 15 minutes or less.