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 82105 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.
Afp Test Done On Blood Sample, Alpha-Fetoprotein (Afp) Test Done On A Blood Sample. This Test May Be Done As Part Of Prenatal Screening To Detect Fetal Abnormalities Or May Be Used To Detect Certain Cancers Such As Liver Cancer Testicular Cancer Or Ovarian Cancer.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.77 national lab fee schedule rate (2026) · View Medicare rates for 82105 |
| Medicaid Fee Schedule | $15.43 median of the 8 states in the free preview · View Medicaid rates for 82105 |
National average reimbursement for CPT 82105 by major payers:
$14.51
$11.92
$20.25
$24.29
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 82105.
CPT 82105
5 of 25 sample ratesHigher to lower in this preview
Scott Suchin
Montefiore Medical Center
$44.93Published rateRobert Antonelle
Montefiore Mount Vernon Hospital
$15.93Published rateFrank Turchioe
St. Johns Riverside Hospital
$10.06Published rateMartin Wolff
City Medical Of Upper East, PLLC
$7.55Published rateAnastasia Novikov
New York City Health And Hospitals Corporation
$5.94Published 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 82105 vs. Other Chemistry Procedures Codes
The CPT 82105 code is part of the Pathology and Laboratory Procedures services used for Chemistry 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 82105 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 |
|---|---|---|
| 82085-CPT | Low | Aldolase Enzyme Test, This Test Checks For Aldolase An Enzyme That Turns Sugars Into Energy. Aldolase Is Found In Large Quantities In Muscles Where It Helps Create Atp (Adenosine Triphosphate) A Molecule That Stores Energy For Future Use. High Levels Signal Muscle Damage. |
| 82088-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. |
| 82103-CPT | Low | Blood Immune Protein Test, Alpha 1-Antitrypsin Is A Blood Protein That Surrounds Inflammation To Protect Nearby Tissues. Inherited Lack Of The Protein Can Lead To Lung Problems Or Liver Failure. Copd And Liver Disease Can Reduce Levels As Well. Testing May Assess Genetic Dysfunctions. |
| 82105-CPT | Low | Afp Test Done On Blood Sample, Alpha-Fetoprotein (Afp) Test Done On A Blood Sample. This Test May Be Done As Part Of Prenatal Screening To Detect Fetal Abnormalities Or May Be Used To Detect Certain Cancers Such As Liver Cancer Testicular Cancer Or Ovarian Cancer. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82105 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 82105) and we'll show you how you compare in 15 minutes or less.