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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.18 national lab fee schedule rate (2026) · View Medicare rates for 82677 |
| Medicaid Fee Schedule | $22.50 median of the 8 states in the free preview · View Medicaid rates for 82677 |
National average reimbursement for CPT 82677 by major payers:

$20.96

$17.04

$26.46

$35.33
Choose a payer to see a sample of rates for CPT 82677.
Christopher Raio
Mercy Medical Center
Methodist Hospitals Of Dallas, Methodist Dallas Medical Center
Methodist Hospitals Of Dallas
Springhill Medical Services, Inc., Springhill Medical Center
Springhill Medical Services Inc
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
Brandon Okeefe Rafaeli
U T Physicians
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Rate Benchmarking
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See a sample payer proposalCPT 82677 vs. Other Chemistry Procedures Codes
The CPT 82677 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 82677 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 |
|---|---|---|
| 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. |
| 82679-CPT | Low | Estrone Hormone Test, This Blood Test Measures Estrone A Form Of Estrogen. The Test Can Assist Diagnosis Of Conditions Associated With Estrogen Production. These Can Cause Breast Development In Men Ovarian Tumors An Underactive Pituitary Gland Or Turners Syndrome. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82677. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82677 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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