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See a sample rate comparisonCPT 82164 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 | $14.60 national lab fee schedule rate (2026) · View Medicare rates for 82164 |
| Medicaid Fee Schedule | $14.42 median of the 8 states in the free preview · View Medicaid rates for 82164 |
National average reimbursement for CPT 82164 by major payers:

$12.71
BCBS / Anthem

$10.50
UnitedHealthcare

$17.11
Aetna

$21.43
Cigna
Choose a payer to see a sample of rates for CPT 82164.
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
Hospital Service District No. 1 Of Caldwell Parish, Citizens Medical Center
Citizens Medical Center
Columbia Hospital At Medical City Dallas Subsidiary Lp, Medical City Dallas
El Paso County Hospital District, University Medical Center Of El Paso
Cumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
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
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 82164 vs. Other Chemistry Procedures Codes
The table lists codes related to 82164. 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. |
| 82274-CPT | Low | Assay Test For Blood Fecal, Blood Occult By Fecal Hemoglobin Determination By Immunoassay Qualitative Feces 1 3 Simultaneous Determinations |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82164. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82164 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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