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See a sample rate comparisonCPT 82681 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.
Estradiol; Free Direct Measurement (Eg Equilibrium, Estradiol; Free Direct Measurement (Eg Equilibrium Dialysis)
| 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 82681 |
| Medicaid Fee Schedule | $25.705 median of the 8 states in the free preview · View Medicaid rates for 82681 |
National average reimbursement for CPT 82681 by major payers:
$21.27
$17.08
$27.13
$60.76
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CPT 82681
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$61.47Published rateJoselyn Gonzalez
Atlantic Health System Inc
$37.34Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$27.94Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$20.60Published 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
$9.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82681 vs. Other Chemistry Procedures Codes
The CPT 82681 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 82681 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. |
| 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. |
| 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. |
| 82681-CPT | Low | Estradiol; Free Direct Measurement (Eg Equilibrium, Estradiol; Free Direct Measurement (Eg Equilibrium Dialysis) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82681. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82681 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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