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See a sample rate comparisonCPT 82163 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.52 national lab fee schedule rate (2026) · View Medicare rates for 82163 |
| Medicaid Fee Schedule | $18.88 median of the 8 states in the free preview · View Medicaid rates for 82163 |
National average reimbursement for CPT 82163 by major payers:

$18.47
BCBS / Anthem

$14.64
UnitedHealthcare

$22.78
Aetna

$30.00
Cigna
Choose a payer to see a sample of rates for CPT 82163.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Baycare Home Care, Inc.
Baycare Home Care Inc
Pelham Medical Center
Prisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
El Campo Memorial Hospital
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 82163 vs. Other Chemistry Procedures Codes
The table lists codes related to 82163. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82163-CPT | Low | Test Blood Pressure Regulation, The Blood Pressure Regulation Test Measures Production Of Angiotensin Ii. This Compound Is One Of The Peptides (Amino Acid Chain) That Ensures Blood Pressure Is Adequate For Any Given Activity. |
| 82164-CPT | Low | Enzyme (Ace) Blood Test, This Blood Test Measures Angiotensin I Converting Enzyme (Ace). Ace Enables Blood Vessels To Expand Or Contract. |
| 82306-CPT | Low | Test For Vitamin D Deficiency, This Blood Test Measures The Amount Of Vitamin D Present In The Body And The Bodys Ability To Store It. |
| 82378-CPT | Low | Cea (Tumor Marker) Test, This Test Measures The Level Of Cea (Carcinoembryonic Antigen) In The Body. This Is A Protein That May Be Found In Blood Or Other Body Fluids When A Tumor Is Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82163. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82163 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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