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See a sample rate comparisonCPT 82247 Fee Schedule
Medicare rates as of January 2026
CPT 82247 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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 | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.02 national lab fee schedule rate (2026) · View Medicare rates for 82247 |
| Medicaid Fee Schedule | $4.955 median of the 8 states in the free preview · View Medicaid rates for 82247 |
National average reimbursement for CPT 82247 by major payers:
$3.75
BCBS / Anthem
$3.55
UnitedHealthcare
$6.30
Aetna
$7.35
Cigna
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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
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Payer Contract Negotiation
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See a sample payer proposalCPT 82247 vs. Other Chemistry Procedures Codes
The table lists codes related to 82247. Select one to see its fee schedule.
| 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.
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