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See a sample rate comparisonCPT 82757 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.
Semen Analysis For Fructose, Fructose Is Discharged From The Seminal Vesicles Along With Sperm. This Test Follows A Semen Analysis That Shows Few Sperm Present. Absence Of Fructose Indicates A Blockage In The Seminal Vesicles.
| 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 GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.34 national lab fee schedule rate (2026) · View Medicare rates for 82757 |
| Medicaid Fee Schedule | $17.125 median of the 8 states in the free preview · View Medicaid rates for 82757 |
National average reimbursement for CPT 82757 by major payers:
$15.17
$11.97
$18.96
$25.14
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CPT 82757
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$38.15Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$17.34Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$15.60Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$12.22Published rateSacred Heart Health System Inc, Sacred Heart Home Care
Sacred Heart Health System Inc
$6.96Published rate
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See a sample payer proposalCPT 82757 vs. Other Chemistry Procedures Codes
The CPT 82757 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 82757 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 |
|---|---|---|
| 82725-CPT | Low | Fatty Acid Blood Test, This Test Specifically Measures Nonesterified Fatty Acids (Nefa) In A Blood Sample. These Are Fatty Acids That Have Not Attached To Enzymes Or Other Substances. |
| 82757-CPT | Low | Semen Analysis For Fructose, Fructose Is Discharged From The Seminal Vesicles Along With Sperm. This Test Follows A Semen Analysis That Shows Few Sperm Present. Absence Of Fructose Indicates A Blockage In The Seminal Vesicles. |
| 82760-CPT | Low | Liver Health Assessment, Galactose Testing Measures Both A Blood And A Urine Sample. This Test Is Generally Given To Assess Liver Health Prior To Sectioning Or Transplant. |
| 82776-CPT | Low | Milk Digestion Enzyme Test, Galactosemia Screening Usually Is Given To Newborns. The Purpose Is To Check For Deficiency Of Enzymes Needed To Digest Lactose (Milk Sugar). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82757. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82757 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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