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 82397 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.
Chemistry Test For Substance, The Chemiluminescence Test Method Mixes Two Chemicals Together And Evaluates The Light Produced By The Mix. The Test Is Used To Identify Substances And Measure Their Amount In The Sample Being Tested.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82397 |
| Medicaid Fee Schedule | View Medicaid rates for 82397 |
National average reimbursement for CPT 82397 by major payers:
$12.31
$17.40
$16.65
$20.60
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 82397.
CPT 82397
5 of 25 sample ratesHigher to lower in this preview
Robert Chatalbash
North Shore-Lij Medical PC
$28.55Published rateElizabeth Williams
Premier Medical Group Of The Hudson Valley, PC
$10.26Published rateGabriel Ionescu
Housing Works Services Inc
$8.47Published rateGeorge Jhagroo
$6.34Published rateBora Gumustop
Gastrointestinal Care Of Long Is
$5.03Published 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 82397 vs. Other Chemistry Procedures Codes
The CPT 82397 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 82397 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 |
|---|---|---|
| 82397-CPT | Low | Chemistry Test For Substance, The Chemiluminescence Test Method Mixes Two Chemicals Together And Evaluates The Light Produced By The Mix. The Test Is Used To Identify Substances And Measure Their Amount In The Sample Being Tested. |
| 82415-CPT | Low | Antibiotic Monitoring, Lab Blood Test To Ensure Therapeutic Levels Of An Antibiotic. Monitoring Ensures Levels Are High Enough To Treat The Infection But Low Enough To Avoid Toxicity. |
| 82523-CPT | Low | Collagen Cross-Link Test, This Test Evaluates Collagen For Cross-Links. This Indicates The Health Of Bone Structure And Bone Creation. It Is Related To Parathyroid Gland Function And Osteoporosis. |
| 82530-CPT | Low | Cortisol Hormone Test, This Test Screens For Cushings Syndrome (Too Much Cortisol) And Addisons Disease (Too Little Cortisol). Cortisol Is A Hormone That Plays A Major Role In The Bodys Stress Response. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82397. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82397 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 82397) and we'll show you how you compare in 15 minutes or less.