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See a sample rate comparisonCPT 82657 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.
Enzyme Evaluation, Enzymes Are Substances That Assist Chemical Activity Within The Body. They Perform A Variety Of Tasks Related To Enabling Processes. Enzyme Evaluations May Check The Quantity Available Amount Being Produced Or Amount Used By A Process.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.17 national lab fee schedule rate (2026) · View Medicare rates for 82657 |
| Medicaid Fee Schedule | $21.895 median of the 8 states in the free preview · View Medicaid rates for 82657 |
National average reimbursement for CPT 82657 by major payers:
$17.78
$13.91
$22.95
$32.69
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CPT 82657
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateAaron Askew
Praxis Health, P.C.
$24.39Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$17.62Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$10.60Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$9.31Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82657 vs. Other Chemistry Procedures Codes
The CPT 82657 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 82657 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 |
|---|---|---|
| 82495-CPT | Low | Chromium |
| 82530-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. |
| 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. |
| 82657-CPT | Low | Enzyme Evaluation, Enzymes Are Substances That Assist Chemical Activity Within The Body. They Perform A Variety Of Tasks Related To Enabling Processes. Enzyme Evaluations May Check The Quantity Available Amount Being Produced Or Amount Used By A Process. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82657. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82657 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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