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See a sample rate comparisonCPT 82672 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.
Estrogen Level Test, The Test Measures Estrogen From Blood And Urine Samples. It Is Ordered Primarily To Assess Sexual Development Fertility Menstruation And Menopause.
| 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 | $21.70 national lab fee schedule rate (2026) · View Medicare rates for 82672 |
| Medicaid Fee Schedule | $21.43 median of the 8 states in the free preview · View Medicaid rates for 82672 |
National average reimbursement for CPT 82672 by major payers:
$19.06
$15.44
$24.70
$31.89
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CPT 82672
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$60.00Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$26.04Published rateTenet Hospitals Limited, The Hospitals Of Providence East Campus
$21.70Published rateTops Specialty Hospital, Ltd., Tops Surgical Specialty Hospital
Tops Specialty Hospital Ltd
$21.70Published rateLamb Healthcare Center
$12.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82672 vs. Other Chemistry Procedures Codes
The CPT 82672 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 82672 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 |
|---|---|---|
| 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. |
| 82672-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. |
| 82681-CPT | Low | Estradiol; Free Direct Measurement (Eg Equilibrium, Estradiol; Free Direct Measurement (Eg Equilibrium Dialysis) |
| 82693-CPT | Low | Antifreeze Toxin Screening, This Lab Test Verifies Whether Antifreeze (Ethylene Glycol) Has Been Ingested. Antifreeze Is A Common Source Of Poisoning Among Children. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82672 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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