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See a sample rate comparisonCPT 82540 Fee Schedule
Medicare rates as of January 2026
CPT 82540 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Creatine Amino Acid Test, This Amino Acid Test Measures The Amount Of Creatine In A Blood Or Urine Sample. Creatine Is Responsible For Supplying Energy To Muscle Cells. The Purpose Of The Test Is To See If Either Muscle Tissue Or Red Blood Cells Are Breaking Down Prematurely.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 49 - Independent Clinic |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.64 national lab fee schedule rate (2026) · View Medicare rates for 82540 |
| Medicaid Fee Schedule | $4.58 median of the 8 states in the free preview · View Medicaid rates for 82540 |
National average reimbursement for CPT 82540 by major payers:
$4.06
BCBS / Anthem
$3.37
UnitedHealthcare
$5.67
Aetna
$6.92
Cigna
Compare published rates across providers.
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CPT 82540
5 of 25 sample ratesHigher to lower in this preview
El Paso County Hospital District, University Medical Center Of El Paso
El Paso County Hospital District
$15.00Published rateWest Jefferson Holdings, LLC, West Jefferson Medical Center
West Jefferson Holdings, LLC
$5.69Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$4.63Published rateJacksonville Hospital LLC, Uthealth East Texas Jacksonville Hospital
$4.63Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$2.40Published rate
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See a sample payer proposalCPT 82540 vs. Other Chemistry Procedures Codes
The table lists codes related to 82540. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82540-CPT | Low | Creatine Amino Acid Test, This Amino Acid Test Measures The Amount Of Creatine In A Blood Or Urine Sample. Creatine Is Responsible For Supplying Energy To Muscle Cells. The Purpose Of The Test Is To See If Either Muscle Tissue Or Red Blood Cells Are Breaking Down Prematurely. |
| 82542-CPT | Low | Col Chromotography Qual Quan, Column Chromatography Includes Mass Spectrometry If Performed Eg Hplc Lc Lc Ms Lc Ms Ms Gc Gc Ms Ms Gc Ms Hplc Ms Non Drug Analyte S Not Elsewhere Specified Qualitative Or Quantitative Each Specimen |
| 82552-CPT | Low | Enzyme (Cpk) Blood Test, This Blood Test Measures The Level Of Creatine Phosphokinase (Cpk) An Enzyme In The Brain Heart Lungs And Skeletal Tissue. Testing Can Confirm An Injury And Identify Damaged Tissue. |
| 82565-CPT | Low | Kidney Function Test, This Test Measures The Rate At Which The Kidneys Filter Creatinine A Waste Product Of Creatine Which Is An Energy-Supplying Organic Acid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82540 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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