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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 | 90 - Reference Laboratory PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $44.25 national lab fee schedule rate (2026) · View Medicare rates for 82777 |
| Medicaid Fee Schedule | $39.055 median of the 8 states in the free preview · View Medicaid rates for 82777 |
National average reimbursement for CPT 82777 by major payers:

$32.31

$20.61

$37.64

$80.64
Choose a payer to see a sample of rates for CPT 82777.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Tenet Hospitals Limited, The Hospitals Of Providence East Campus
Prisma Health-Upstate, Prisma Health Transplant Center
Prisma Health - Upstate
Christopher Raio
Good Samaritan Hosptial Medical Center
Gonzales Healthcare Systems
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Rate Benchmarking
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See a sample payer proposalCPT 82777 vs. Other Chemistry Procedures Codes
The CPT 82777 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 82777 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. |
| 82693-CPT | Low | Antifreeze Toxin Screening, This Lab Test Verifies Whether Antifreeze (Ethylene Glycol) Has Been Ingested. Antifreeze Is A Common Source Of Poisoning Among Children. |
| 82777-CPT | Low | Blood Test For Heart Failure, This Blood Test Measures Galectin-3 Protein Levels And Is Used To Evaluate Chronic Heart Failure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82777. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82777 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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