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See a sample rate comparisonCPT 82523 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 | 90 - Reference Laboratory QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.68 national lab fee schedule rate (2026) · View Medicare rates for 82523 |
| Medicaid Fee Schedule | $18.445 median of the 8 states in the free preview · View Medicaid rates for 82523 |
National average reimbursement for CPT 82523 by major payers:

$16.89
BCBS / Anthem

$13.13
UnitedHealthcare

$21.24
Aetna

$27.18
Cigna
Choose a payer to see a sample of rates for CPT 82523.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Raio
St Francis Hospital
Columbia Medical Center Of Lewisville Subsidiary Lp, Medical City Lewisville
De Marketing And Sales
Sharron Acosta M.D.P.A.
Sharron Acosta, M.D., P.A.
Amy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 82523 vs. Other Chemistry Procedures Codes
The table lists codes related to 82523. Select one to see its fee schedule.
| 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. |
| 82525-CPT | Low | Copper Test, This Test Checks A Sample Of Blood Or Urine For Copper A Mineral Needed In Very Small Amounts To Make Red Blood Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82523. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82523 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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