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CPT 82120 Fee Schedule

Last Verified: September 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.

Test For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas.
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

11 - Office

71 - Public Health Clinic

Common Modifiers

None

QW - CLIA Waived Tests

FP

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 82120
Medicaid Fee ScheduleView Medicaid rates for 82120

National average reimbursement for CPT 82120 by major payers:

bcbs

$5.31

uhc

$4.70

aetna

$5.88

cigna

$8.38

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 82120.

CPT 82120
5 of 25 sample ratesHigher to lower in this preview
  1. Da Pediatric Rehabilitation

    FLHome Health AgencyNPI 1801164967Tax ID 27-0939565

    $55.00Published rate
  2. Hcn Ep Horizon City, LLC, The Hospitals Of Providence Northeast Campus

    Hcn Ep Horizon City LLC

    TXGeneral Acute Care HospitalNPI 1861994808Tax ID 81-3935393

    $5.98Published rate
  3. Prisma Health-Upstate, Prisma Health Op Surgery Patewood

    Prisma Health - Upstate

    SCGeneral Acute Care HospitalNPI 1144775032Tax ID 81-1723202

    $5.38Published rate
  4. Bradley Weisner

    Urology Specialists Of The Carolinas, PLLC

    NCUrology PhysicianNPI 1619910627Tax ID 56-2107759

    $3.68Published rate
  5. Ethicus Hospital Dfw LLC, Legent Orthopedic Hospital

    Ethicus Hospital Dfw

    TXGeneral Acute Care HospitalNPI 1316505043Tax ID 26-3044485

    $2.51Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 82120 vs. Other Chemistry Procedures Codes

The CPT 82120 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 82120 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.

CodeComplexityDescription
82107-CPTLowAfp 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.
82108-CPTLowScreening For Aluminum, This Screening Monitors The Amount Of Aluminum Present In The Blood Or Urine. It Is Used When A Person Is At Risk Of Aluminum Poisoning.
82120-CPTLowTest For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas.
82127-CPTLowAmino Acid Test, This Test Verifies Whether And Which Amino Acids Are Present In A Blood Or Urine Sample. Amino Acids Help Digest Proteins.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 82120 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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