Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 82172 Fee Schedule
Last Verified: September 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82172 |
| Medicaid Fee Schedule | View Medicaid rates for 82172 |
National average reimbursement for CPT 82172 by major payers:
$16.44
$12.60
$21.01
$29.36
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 82172.
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
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 82172 vs. Other Chemistry Procedures Codes
The CPT 82172 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 82172 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 |
|---|---|---|
| 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 82172) and we'll show you how you compare in 15 minutes or less.