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See a sample rate comparisonCPT 82554 Fee Schedule
Medicare rates as of January 2026
CPT 82554 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.87 national lab fee schedule rate (2026) · View Medicare rates for 82554 |
| Medicaid Fee Schedule | $11.72 median of the 8 states in the free preview · View Medicaid rates for 82554 |
National average reimbursement for CPT 82554 by major payers:
$10.51
BCBS / Anthem
$12.51
UnitedHealthcare
$13.20
Aetna
$17.26
Cigna
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CPT 82554
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$26.11Published rateChristopher Raio
Mercy Medical Center
$14.10Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$10.68Published rateChristopher Raio
Mercy Medical Center
$8.44Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$4.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82554 vs. Other Chemistry Procedures Codes
The table lists codes related to 82554. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82383-CPT | Low | Stress Hormone Test, A Lab Test For Catecholamines (Blood Or 24-Hour Urine Sample) Is Often Performed To Help Diagnose An Adrenal Gland Tumor Or Other Condition. Catecholamines Are Stress Response Hormones Such As Epinephrine Norepinephrine And Dopamine. |
| 82550-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. |
| 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. |
| 82554-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82554. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82554 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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