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See a sample rate comparisonCPT 82642 Fee Schedule
Medicare rates as of January 2026
CPT 82642 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Male Hormone Testing, This Hormone Test Evaluates Dihydrotestosterone Which Plays A Role In Causing Loss Of Hair. The Hormone Is Most Closely Related To Testosterone And Other Male Characteristic Hormones.
| 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 | $29.28 national lab fee schedule rate (2026) · View Medicare rates for 82642 |
| Medicaid Fee Schedule | $28.10 median of the 8 states in the free preview · View Medicaid rates for 82642 |
National average reimbursement for CPT 82642 by major payers:
$24.16
BCBS / Anthem
$18.85
UnitedHealthcare
$29.87
Aetna
$62.52
Cigna
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CPT 82642
5 of 25 sample ratesHigher to lower in this preview
Donald Hoelzel
Atlantic Health System Inc
$43.49Published rateChristopher Raio
St Francis Hospital
$32.50Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$23.98Published rateChristopher Raio
Mercy Medical Center
$15.81Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$10.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82642 vs. Other Chemistry Procedures Codes
The table lists codes related to 82642. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 82480-CPT | Low | Nervous System Blood Test, Cholinesterase Is An Enzyme Present In The Blood That Is Essential For A Healthy Nervous System. The Test Is Used Most Often To Assess Exposure To Pesticides That Contain Organophosphates. |
| 82507-CPT | Low | Citrate |
| 82533-CPT | Low | Cortisol Hormone Test, This Test Screens For Cushings Syndrome (Too Much Cortisol) And Addisons Disease (Too Little Cortisol). Cortisol Is A Hormone That Plays A Major Role In The Bodys Stress Response. |
| 82642-CPT | Low | Male Hormone Testing, This Hormone Test Evaluates Dihydrotestosterone Which Plays A Role In Causing Loss Of Hair. The Hormone Is Most Closely Related To Testosterone And Other Male Characteristic Hormones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82642 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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