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 82247 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.
Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82247 |
| Medicaid Fee Schedule | View Medicaid rates for 82247 |
National average reimbursement for CPT 82247 by major payers:
$3.75
$3.55
$6.30
$7.35
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 82247.
CPT 82247
5 of 25 sample ratesHigher to lower in this preview
Smrita Sinha
Memorial Gastroenterology Group
$18.92Published rateSamuel Kim
$7.01Published rateJusuf Zlatanic
$3.06Published rateMichael Demaria
Harmony Health Care Long Island
$2.25Published rateSehem Ghazala
Sisters Of Charity Hospital Of Buffalo New York
$2.10Published 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 82247 vs. Other Chemistry Procedures Codes
The CPT 82247 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 82247 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 |
|---|---|---|
| 82239-CPT | Low | Blood Bile Acid Test, This Test Measures The Amount Of Bile Acids Present In The Blood. Bile Acids Play An Important Role In Digestion. If Their Numbers In The Blood Increase This Suggests The Livers Ability To Function Is Reduced. |
| 82240-CPT | Low | Cholylglycine (Bile Acid) Test, A Bile Acid Test May Specifically Measure Cholylglycine. This Acid Is Useful As An Indicator Of Liver Injury From Cirrhosis Or Hiv. |
| 82247-CPT | Low | Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function. |
| 82248-CPT | Low | Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82247 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 82247) and we'll show you how you compare in 15 minutes or less.