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See a sample rate comparisonCPT 82166 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.
Hormone Test, An Anti-Mullerian Hormone (Amh) Test Measures The Amount Of Amh In A Blood Sample Which Can Provide Information About A Variety Of Female Reproductive Health Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $38.62 national lab fee schedule rate (2026) · View Medicare rates for 82166 |
| Medicaid Fee Schedule | $34.52 median of the 8 states in the free preview · View Medicaid rates for 82166 |
National average reimbursement for CPT 82166 by major payers:
$29.96
$39.08
$47.57
$75.12
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CPT 82166
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$84.96Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$38.62Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$28.47Published rateRolando Henriquez
Progressive Medical Center, S.C.
$21.23Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$15.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82166 vs. Other Chemistry Procedures Codes
The CPT 82166 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 82166 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 |
|---|---|---|
| 82166-CPT | Low | Hormone Test, An Anti-Mullerian Hormone (Amh) Test Measures The Amount Of Amh In A Blood Sample Which Can Provide Information About A Variety Of Female Reproductive Health Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82166. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82166 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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