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See a sample rate comparisonCPT 82378 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.96 national lab fee schedule rate (2026) · View Medicare rates for 82378 |
| Medicaid Fee Schedule | $18.725 median of the 8 states in the free preview · View Medicaid rates for 82378 |
National average reimbursement for CPT 82378 by major payers:

$16.55
BCBS / Anthem

$14.98
UnitedHealthcare

$23.36
Aetna

$27.45
Cigna
Choose a payer to see a sample of rates for CPT 82378.
Trishul Siddharthan
University Of Miami
Jonah White
Florida Hospital Medical Group Inc
Jose Alvarez
West Broward Pulmonary Consultants PA
Fuad Shahin
Osceola Surgical Associates LLC
Tiffanie Wong
Dermatology Center Of The Palm Beaches PA
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 82378 vs. Other Chemistry Procedures Codes
The table lists codes related to 82378. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82180-CPT | Low | Ascorbic Acid (Vitamin C), Blood |
| 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. |
| 82306-CPT | Low | Test For Vitamin D Deficiency, This Blood Test Measures The Amount Of Vitamin D Present In The Body And The Bodys Ability To Store It. |
| 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 82378. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82378 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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