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See a sample rate comparisonCPT 82731 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.41 national lab fee schedule rate (2026) · View Medicare rates for 82731 |
| Medicaid Fee Schedule | $63.605 median of the 8 states in the free preview · View Medicaid rates for 82731 |
National average reimbursement for CPT 82731 by major payers:
$56.21
$52.85
$72.76
$91.92
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CPT 82731
5 of 25 sample ratesHigher to lower in this preview
Citizens Medical Center County Of Victoria, County Of Victoria Citizens Medical Center
$128.82Published rateTitus County Hospital District, Titus Regional Medical Center
$77.29Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$64.41Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$53.99Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$33.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82731 vs. Other Chemistry Procedures Codes
The CPT 82731 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 82731 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 |
|---|---|---|
| 82681-CPT | Low | Estradiol; Free Direct Measurement (Eg Equilibrium, Estradiol; Free Direct Measurement (Eg Equilibrium Dialysis) |
| 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 82731. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82731 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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