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See a sample rate comparisonCPT 82610 Fee Schedule
Medicare rates as of January 2026
CPT 82610 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Blood Protein Marker Test, The Test Measures Cystatin C A Blood Protein Marker. The Amount Of This Protein Indicates The Health Of The Kidneys And How Well The Kidneys Filtration System Is Working.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.52 national lab fee schedule rate (2026) · View Medicare rates for 82610 |
| Medicaid Fee Schedule | $18.29 median of the 8 states in the free preview · View Medicaid rates for 82610 |
National average reimbursement for CPT 82610 by major payers:
$14.76
BCBS / Anthem
$10.93
UnitedHealthcare
$19.03
Aetna
$51.29
Cigna
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CPT 82610
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChca Clear Lake Lp, Hca Houston Healthcare Clear Lake
$18.52Published rateVhs San Antonio Partners, LLC
$18.52Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$11.11Published rateChristus Spohn Health System Corporation, Christus Spohn Hospital Kleberg
C H Wilkinson Physician Network
$2.66Published rate
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See a sample payer proposalCPT 82610 vs. Other Chemistry Procedures Codes
The table lists codes related to 82610. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 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. |
| 82575-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. |
| 82610-CPT | Low | Blood Protein Marker Test, The Test Measures Cystatin C A Blood Protein Marker. The Amount Of This Protein Indicates The Health Of The Kidneys And How Well The Kidneys Filtration System Is Working. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82610 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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