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See a sample rate comparisonCPT 82670 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.
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| 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 | $27.94 national lab fee schedule rate (2026) · View Medicare rates for 82670 |
| Medicaid Fee Schedule | $27.59 median of the 8 states in the free preview · View Medicaid rates for 82670 |
National average reimbursement for CPT 82670 by major payers:
$22.51
$19.99
$34.44
$40.88
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CPT 82670
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$61.47Published rateChristopher Raio
Mercy Medical Center
$36.88Published rateCaitlin Martin
$16.80Published rateAdrianne Colton
$12.56Published rateJennifer Park
Fair Oaks Womens Health
$11.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82670 vs. Other Chemistry Procedures Codes
The CPT 82670 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 82670 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 |
|---|---|---|
| 82664-CPT | Low | Lab Analysis Of Fluid, Lab Analysis Of Fluid Using Electrophoresis A Testing Technique That Separates Materials From A Sample. |
| 82670-CPT | Low | Estradiol Hormone Test, This Blood Test Measures Estradiol The Most Important Form Of Estrogen. It Is Responsible For Normal Sexual Development And Regulation Of Reproductive Cycle Processes. |
| 82671-CPT | Low | Estrogen Level Test, The Test Measures Estrogen From Blood And Urine Samples. It Is Ordered Primarily To Assess Sexual Development Fertility Menstruation And Menopause. |
| 82677-CPT | Low | Estriol Hormone Test, This Blood Test Measures Estriol Which Is A Form Of Estrogen (A Hormone). It Is Ordered Primarily To Assess Risks Associated With A Pregnancy Genetic Complication Such As Carrying A Fetus With Down Syndrome. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82670 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
Healthcare price transparency refers to the availability of information about the costs of medical services, procedures, and drugs. The goal is to allow consumers to know the price of healthcare services before they receive them, helping them make informed decisions and potentially lowering costs.
Price transparency is important because it empowers consumers to shop for healthcare services, compare costs across different providers, and understand their potential financial responsibility. This can lead to more competitive pricing among providers and potentially reduce overall healthcare spending.
To find the cost of a medical procedure, you can start by contacting your healthcare provider's billing department or your health insurance company. For a more comprehensive search based on specific CPT codes and your location, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search for costs with a CPT code and specific location, providing insights into potential out-of-pocket expenses.
Many hospitals are now required to post their standard charges online. You can often find this information on their websites, typically under a "Patient Resources" or "Billing & Insurance" section. For a more direct way to compare prices for specific procedures using CPT codes and your location, Payerprice offers a tool designed for this purpose, allowing you to get a clearer picture of potential costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing and insurance claims, as they dictate what services were provided and how much they cost. When looking up healthcare costs, knowing the specific CPT code for a procedure can help you get a more accurate price estimate, especially when using tools like Payerprice's fee schedule lookup.
Your insurance plan significantly affects the cost you pay for healthcare services. Factors include your deductible (the amount you must pay before your insurance starts covering costs), copayments (a fixed amount you pay for a service), coinsurance (a percentage of the cost you pay after meeting your deductible), and whether the provider is in-network or out-of-network. It's always best to contact your insurance provider directly to understand your specific benefits and estimated out-of-pocket costs for a planned procedure. You can also use tools like Payerprice to get an idea of the base cost, which can then be cross-referenced with your insurance benefits.