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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 | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.87 national lab fee schedule rate (2026) · View Medicare rates for 82951 |
| Medicaid Fee Schedule | $12.71 median of the 8 states in the free preview · View Medicaid rates for 82951 |
National average reimbursement for CPT 82951 by major payers:

$11.49

$11.75

$15.33

$18.51
Choose a payer to see a sample of rates for CPT 82951.
Woodlands Specialty Hospital
Children'S Hospital
Childrens Hospital Inc
Hospital Service District 1 Of East Baton Rouge Parish, Lane Regional Medical Center
Christopher Raio
Good Samaritan Hosptial Medical Center
Victory Medical Center Landmark, Lp
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Rate Benchmarking
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See a sample payer proposalCPT 82951 vs. Other Chemistry Procedures Codes
The CPT 82951 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 82951 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 |
|---|---|---|
| 82746-CPT | Low | Folic Acid Blood Test, Folic Acid Is A B Vitamin. It Affects Red Blood Cell (Rbc) Health And The Ability To Absorb And Retain Iron. Tests Measure The Total Amount Of Folic Acid In The Blood Or The Amount In Rbcs. |
| 82943-CPT | Low | Pituitary Gland Test Glucagon, This Test Measures The Reaction Of The Pituitary Gland To An Injection Of Glucagon. If The Gland (Located At The Base Of The Brain) Is Functioning Normally It Will Produce Cortisone And Human Growth Hormone. |
| 82946-CPT | Low | Glucagon Test Series, The Glucagon Tolerance Test Helps Diagnose Hypoglycemic And Insulin Conditions. A Two-Minute Glucagon Iv Injection Causes An Insulin Peak. Glucose And Insulin Levels Are Measured At Baseline And Timed Intervals. |
| 82951-CPT | Low | Glucose Tolerance Test, Glucose Tolerance Testing (Gtt) Evaluates Carbohydrate Metabolism. A Glucose Solution Can Be Drunk Or Delivered Directly Into The Bloodstream By Iv. After This Anywhere From One To Four Or More Samples Are Measured To Assess How The Body Handles Blood Sugar. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82951 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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