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See a sample rate comparisonCPT 82172 Fee Schedule
Medicare rates as of January 2026
CPT 82172 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $21.09 national lab fee schedule rate (2026) · View Medicare rates for 82172 |
| Medicaid Fee Schedule | $20.88 median of the 8 states in the free preview · View Medicaid rates for 82172 |
National average reimbursement for CPT 82172 by major payers:
$16.44
BCBS / Anthem
$12.60
UnitedHealthcare
$21.01
Aetna
$29.36
Cigna
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CPT 82172
5 of 25 sample ratesHigher to lower in this preview
Kelley Collier
University Of Vermont Medical Center Inc
$22.98Published rateMegan Patrick
Grand River Hospital District
$9.50Published rateKurtis Holmes
Lower Valley Hospital Association
$8.93Published rateLakshmi Karra
$8.85Published rateJoshua Emdur
Cloud Health Medical Group PA
$8.85Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82172 vs. Other Chemistry Procedures Codes
The table lists codes related to 82172. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82139-CPT | Low | Amino Acid Test, This Test Measures The Quantity Of One Or More Amino Acids Present In A Blood Or Urine Sample. Amino Acids Help Digest Proteins. |
| 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. |
| 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 82172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82172 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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