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See a sample rate comparisonHealthcare 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.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $23.64 national lab fee schedule rate (2026) · View Medicare rates for 82300 |
| Medicaid Fee Schedule | $21.75 median of the 8 states in the free preview · View Medicaid rates for 82300 |
National average reimbursement for CPT 82300 by major payers:

$20.32

$16.13

$25.80

$34.22
Choose a payer to see a sample of rates for CPT 82300.
Natchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
Chca Pearland, L.P., Hca Houston Healthcare Pearland
Methodist Hospitals Of Dallas, Methodist Charlton Medical Center
Methodist Hospitals Of Dallas
Lancaster Regional Hospital, Lp, Crescent Medical Center Lancaster
Lancaster Regional Hospital, Lp
Caldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 82300 vs. Other Chemistry Procedures Codes
The CPT 82300 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 82300 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 |
|---|---|---|
| 82108-CPT | Low | Screening For Aluminum, This Screening Monitors The Amount Of Aluminum Present In The Blood Or Urine. It Is Used When A Person Is At Risk Of Aluminum Poisoning. |
| 82175-CPT | Low | Screening For Arsenic Exposure, Arsenic Is A Metallic Element That Is Toxic In Large Amounts. Its Presence And Quantity Is Detected In A Blood Or Urine (Preferred) Sample. |
| 82300-CPT | Low | Cadmium, Urine |
| 82310-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid Disease Bone Disorders And Chronic Renal Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82300 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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