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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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.46 national lab fee schedule rate (2026) · View Medicare rates for 82785 |
| Medicaid Fee Schedule | $15.145 median of the 8 states in the free preview · View Medicaid rates for 82785 |
National average reimbursement for CPT 82785 by major payers:

$13.84

$11.55

$19.06

$24.00
Choose a payer to see a sample of rates for CPT 82785.
Foundation Bariatric Hospital Of San Antonio, LLC, Foundation Surgical Hospital Of San Antonio
Foundation Bariatric Hospital Of San Antonio, LLC
Huntsville Community Hospital, Inc.
Huntsville Community Hospital Inc
Methodist Hospitals Of Dallas, Methodist Mansfield Medical Center
Methodist Hospitals Of Dallas
Palo Pinto County Hospital District, Palo Pinto General Hospital
Chana Van Houten
Nadir Mir Ali Md PLLC
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Rate Benchmarking
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See a sample payer proposalCPT 82785 vs. Other Chemistry Procedures Codes
The CPT 82785 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 82785 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 |
|---|---|---|
| 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. |
| 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). |
| 82785-CPT | Low | Allergy Antibody Test (Ig E), This Antibody Test Checks For The Ig E (Or Immunoglobulin) Antibody Produced During Allergic Reactions Or Anaphylaxis. Ig E Is Measured In A Blood Or Spinal Fluid Sample. |
| 82800-CPT | Low | Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82785. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82785 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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