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See a sample rate comparisonCPT 82570 Fee Schedule
Last Verified: October 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.18 national lab fee schedule rate (2026) · View Medicare rates for 82570 |
| Medicaid Fee Schedule | $5.115 median of the 8 states in the free preview · View Medicaid rates for 82570 |
National average reimbursement for CPT 82570 by major payers:
$4.48
$3.71
$6.59
$7.57
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CPT 82570
5 of 25 sample ratesHigher to lower in this preview
Morgan Murawski
Slocum Dickson Medical Group PLLC
$5.96Published rateRobert Rubino
Atlantic Health System Inc
$5.86Published rateDaniel Grace
Slocum Dickson Medical Group PLLC
$4.30Published rateChristopher Powers
Slocum Dickson Medical Group PLLC
$2.18Published rateJohn Restivo
Slocum Dickson Medical Group PLLC
$2.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82570 vs. Other Chemistry Procedures Codes
The CPT 82570 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 82570 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 |
|---|---|---|
| 82382-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. |
| 82435-CPT | Low | Chloride Electrolyte Test, This Test Checks A Blood Sample For Chloride. This Is One Of The Cell Salts Essential For Maintaining The Bodys Electrolyte Balance. Typically Chloride Is Absorbed From Table Salt. |
| 82507-CPT | Low | Citrate |
| 82570-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 82570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82570 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-character alphanumeric codes used by medical professionals to describe medical, surgical, and diagnostic services. They are crucial for billing and reimbursement processes in healthcare.
To find the cost of a specific medical procedure based on a CPT code and your location, it is recommended to use Payerprice's fee schedule lookup tool. This tool allows you to search with a CPT code and specific location, providing accurate and specific pricing information to help you understand potential costs more clearly than general information sources.
CMS (Centers for Medicare & Medicaid Services) is a federal agency that administers Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). CMS provides public data on reimbursement rates for services covered by these programs. Payerprice, on the other hand, is a tool designed to provide access to fee schedules for a wider range of payers (commercial and private insurance) and allows users to look up specific prices for CPT codes in particular locations, offering a more comprehensive view of market prices beyond just government programs.
Fee schedules for medical services can be found from various sources. While CMS publishes its fee schedules for Medicare, for a broader and more specific view of market rates across different payers and locations, it is recommended to use Payerprice's fee schedule lookup tool. This tool allows you to search with a CPT code and specific location to get detailed pricing information.
Medical costs vary by location due to several factors, including the cost of living and operating expenses for healthcare facilities, regional supply and demand for specific medical services, local insurance market dynamics, and varying negotiation power between providers and payers. These regional differences contribute significantly to the overall variation in healthcare pricing.
Payerprice typically offers a user-friendly interface where you can input the CPT code for the medical service you are interested in and specify your geographic location (e.g., zip code or city/state). The tool then provides you with relevant fee schedule information based on your input, helping you understand the potential costs of procedures in your area. You would visit their website and utilize their search function.