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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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.63 national lab fee schedule rate (2026) · View Medicare rates for 82728 |
| Medicaid Fee Schedule | $13.46 median of the 8 states in the free preview · View Medicaid rates for 82728 |
National average reimbursement for CPT 82728 by major payers:

$11.43

$9.76

$17.12

$19.63
Choose a payer to see a sample of rates for CPT 82728.
Nisha Rao
Memorial Medical Consultation Group
Jacqueline Wesolow
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Robert Macaulay
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Robert Geiss
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Rajendrakumar Patel
Wellness First Medical Clinic LLC
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Rate Benchmarking
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See a sample payer proposalCPT 82728 vs. Other Chemistry Procedures Codes
The CPT 82728 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 82728 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 |
|---|---|---|
| 82668-CPT | Low | Kidney Hormone Blood Test, This Blood Test (Epo) Checks The Quantity Of Erythropoietin. The Kidneys Release The Hormone When Triggered By Low Blood Oxygen Levels. The Test Is Helpful In Assessing Anemia And Bone Marrow Disorders. |
| 82728-CPT | Low | Ferritin Protein Test For Iron, Ferritin Is A Cell Protein That Stores Iron For Later Use. Test Results Indicate The Amount Of Iron In The Blood. |
| 82731-CPT | Low | Preterm Labor Test, The Preterm Labor Test Is Also Known As The Fetal Fibronectin (Ffn). The Test Is Given When True Labor Is Suspected. A Positive Result Must Be Verified By Other Means Such As An Ultrasound To Measure Cervical Thickness. |
| 82735-CPT | Low | Fluoride Testing, The Fluoride Test Checks For Toxic Levels. Excess May Accumulate From Overuse Of Dietary Supplements As Well As Exposure To Insecticides Or Industrial Salts. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82728. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82728 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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