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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 | 91 - Repeat Lab Test 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.30 national lab fee schedule rate (2026) · View Medicare rates for 82784 |
| Medicaid Fee Schedule | $9.185 median of the 8 states in the free preview · View Medicaid rates for 82784 |
National average reimbursement for CPT 82784 by major payers:

$7.61

$6.63

$11.08

$13.47
Choose a payer to see a sample of rates for CPT 82784.
David Garcia
Jason Edling
Mercy Clinics Inc
Niket Sonpal
Wyckoff Professional Medical Services PC
David Case
Central Texas Digestive Disease, P.A.
Luat Nguyen
Luat T Nguyen Md PA
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Rate Benchmarking
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See a sample payer proposalCPT 82784 vs. Other Chemistry Procedures Codes
The CPT 82784 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 82784 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 |
|---|---|---|
| 82677-CPT | Low | Estriol Hormone Test, This Blood Test Measures Estriol Which Is A Form Of Estrogen (A Hormone). It Is Ordered Primarily To Assess Risks Associated With A Pregnancy Genetic Complication Such As Carrying A Fetus With Down Syndrome. |
| 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. |
| 82726-CPT | Low | Nerve Condition Blood Test, This Blood Test Evaluates Very Long Chain Fatty Acids (Vlcfa). It Is Used To Identify Diseases That Involve Degeneration Of Nerve Tissues And Loss Of Muscle Control. |
| 82784-CPT | Low | Gammaglobulin (Immunoglobu); Iga Igd Igg Igm Ea, Gammaglobulin (Immunoglobulin); Iga Igd Igg Igm Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82784. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82784 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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Finding the exact cost of a medical procedure or service beforehand can be challenging due to varying prices between providers, insurance plans, and geographic locations. However, you can take several steps to get an estimate. Start by asking your healthcare provider for an estimate for the specific service, including all associated CPT codes. If you have insurance, contact your insurer to understand your benefits, deductibles, co-pays, and the allowed amount for the service. For a more direct way to look up prices based on CPT codes and your specific location, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search for prices with a CPT code and specific location, providing transparency into potential costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurers for reimbursement. Each code corresponds to a specific service, procedure, or test. Understanding the CPT codes for your services is crucial because these codes are what payers (like insurance companies) use to determine the price and reimbursement amount. When you have the CPT code, you can use it to research costs, inquire with your insurance company about coverage, or look up specific fee schedules using tools like Payerprice to get a clearer picture of potential expenses.
Medical costs vary significantly due to a multitude of factors, including the provider's negotiated rates with insurance companies, geographic location, the complexity of the procedure, whether the facility is in-network or out-of-network, and even the specific health plan you have. Getting an *accurate* estimate for your specific situation requires a combination of information. You'll need the exact CPT code(s) for the service, your specific location, and details about your insurance plan (if applicable). For the most precise estimates based on your CPT code and location, it's recommended to use a specialized tool. Payerprice offers a fee schedule lookup tool designed to help users find cost information specific to CPT codes and geographic locations, helping you get a more tailored estimate.
Yes, there are tools specifically designed to help you look up healthcare prices based on CPT codes and specific locations. For users seeking to understand potential costs for medical services, Payerprice provides a fee schedule lookup tool. This platform allows you to search for pricing information using the CPT code for a procedure or service and your specific geographic location. This can be a valuable resource for gaining transparency into healthcare costs and making informed decisions about your medical care.