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See a sample rate comparisonCPT 82154 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
| 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 KX - Requirements specified in the medical policy have been met TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $28.83 national lab fee schedule rate (2026) · View Medicare rates for 82154 |
| Medicaid Fee Schedule | $26.525 median of the 8 states in the free preview · View Medicaid rates for 82154 |
National average reimbursement for CPT 82154 by major payers:

$25.09
BCBS / Anthem

$29.19
UnitedHealthcare

$32.81
Aetna

$42.27
Cigna
Choose a payer to see a sample of rates for CPT 82154.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Raio
St Francis Hospital
Methodist Hospitals Of Dallas, Methodist Southlake Medical Center
Methodist Hospitals Of Dallas
Charleston Radiologists PA
Charleston Radiologists, P.A.
Methodist Hospital Plainview Texas, Covenant Hospital Plainview
Methodist Hospital Plainview Texas
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 82154 vs. Other Chemistry Procedures Codes
The table lists codes related to 82154. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82154-CPT | Low | Androstanediol Glucuronide |
| 82157-CPT | Low | Androgen Hormone Test, The Test Evaluates Production Of Androgen In Women And Girls. Androgen Is A Hormone Related To Male Secondary Sexual Characteristics Such As Facial And Body Hair. |
| 82160-CPT | Low | Male Hormone Test, Androsterone Is A Hormone Product Of The Breakdown Of Testosterone. When It Is Out Of Balance Various Secondary Sexual Characteristic Syndromes Can Develop. |
| 82172-CPT | Low | Cholesterol Protein Test, Apolipoproteins And Lipoproteins Influence Cholesterol. Apolipoproteins Help Manage Fats And Proteins And Can Be Influenced By Genetics. Lipoproteins Help Build Cell And Tissue Structures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82154. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82154 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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