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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 | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $3.92 national lab fee schedule rate (2026) · View Medicare rates for 82952 |
| Medicaid Fee Schedule | $3.87 median of the 8 states in the free preview · View Medicaid rates for 82952 |
National average reimbursement for CPT 82952 by major payers:

$3.45

$3.56

$4.63

$5.79
Choose a payer to see a sample of rates for CPT 82952.
Hca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
Marc Stiefel
Pinnacle Ent Alliance, LLC
Quest Diagnostics Venture LLC
Kristina Jimenez
Miguel A Arenas Md PC
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Rate Benchmarking
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See a sample payer proposalCPT 82952 vs. Other Chemistry Procedures Codes
The CPT 82952 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 82952 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 |
|---|---|---|
| 82947-CPT | Low | Fasting Blood Sugar Test, The Test Measures The Amount Of Glucose In A Blood Sample. The Sample May Be Collected After An 8-Hour Fast To Evaluate How Well Carbohydrates Are Turned Into Glucose. A Pinprick Test Touches A Drop To Color-Reactive Paper To Measure The Glucose Level. |
| 82948-CPT | Low | Fasting Blood Sugar Test, The Test Measures The Amount Of Glucose In A Blood Sample. The Sample May Be Collected After An 8-Hour Fast To Evaluate How Well Carbohydrates Are Turned Into Glucose. A Pinprick Test Touches A Drop To Color-Reactive Paper To Measure The Glucose Level. |
| 82950-CPT | Low | Glucose Tolerance Test, Glucose Tolerance Testing (Gtt) Evaluates Carbohydrate Metabolism. The Person Eats A High Carbohydrate Meal Or Drinks An Oral Glucose Solution. Two Hours Later Blood Glucose Levels Are Checked To Measure How Well Carbohydrates Are Turned Into Glucose. |
| 82952-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 82952. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82952 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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