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See a sample rate comparisonCPT 82365 Fee Schedule
Medicare rates as of January 2026
CPT 82365 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.90 national lab fee schedule rate (2026) · View Medicare rates for 82365 |
| Medicaid Fee Schedule | $12.59 median of the 8 states in the free preview · View Medicaid rates for 82365 |
National average reimbursement for CPT 82365 by major payers:
$11.29
BCBS / Anthem
$9.17
UnitedHealthcare
$14.78
Aetna
$18.83
Cigna
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CPT 82365
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Hausman
Emerus Bhs Sa Thousand Oaks LLC
$45.00Published rateChristopher Raio
Mercy Medical Center
$15.33Published rateAd Hospital East, LLC
$12.89Published rateClhg-Leesville, Byrd Regional Hospital
$10.81Published rateSt. Davids Healthcare Partnership, L.P., LLP, Heart Hospital Of Austin
Lone Star Circle Of Care
$5.42Published rate
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See a sample payer proposalCPT 82365 vs. Other Chemistry Procedures Codes
The table lists codes related to 82365. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82340-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid And Thyroid Disease. |
| 82360-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
| 82365-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
| 82378-CPT | Low | Cea (Tumor Marker) Test, This Test Measures The Level Of Cea (Carcinoembryonic Antigen) In The Body. This Is A Protein That May Be Found In Blood Or Other Body Fluids When A Tumor Is Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82365 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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