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See a sample rate comparisonCPT 83036 Fee Schedule
Medicare rates as of January 2026
CPT 83036 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months.
| 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 | $9.71 national lab fee schedule rate (2026) · View Medicare rates for 83036 |
| Medicaid Fee Schedule | $9.59 median of the 8 states in the free preview · View Medicaid rates for 83036 |
National average reimbursement for CPT 83036 by major payers:
$10.04
BCBS / Anthem
$7.03
UnitedHealthcare
$12.54
Aetna
$14.38
Cigna
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CPT 83036
5 of 25 sample ratesHigher to lower in this preview
Ethan Witt
Duke University Health System Inc
$20.34Published rateColumbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$9.71Published rateClhg-Winn, LLC, Winn Parish Medical Center
$8.73Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$5.55Published rateBrim Healthcare Of Texas LLC
$3.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83036 vs. Other Chemistry Procedures Codes
The table lists codes related to 83036. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83020-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
| 83021-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
| 83030-CPT | Low | Fetal Hemoglobin Test, This Test Measures Fetal Hemoglobin Levels. Typically Fetal Hemoglobin Decreases After Birth So Its Presence In An Adult May Indicate A Bleeding Problem Disease Or Pregnancy. |
| 83036-CPT | Low | Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83036 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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Frequently Asked Questions
CPT 83036 reports a hemoglobin A1c test, which measures glycated hemoglobin and reflects average blood sugar over roughly the previous three months.
CPT 83037 is used when the A1c is measured with a device cleared by the FDA for home use. Most office and reference lab A1c tests are reported with 83036.
Medicare pays CPT 83036 under the Clinical Laboratory Fee Schedule, a single national rate based on what private payers paid labs, rather than under the Physician Fee Schedule. Commercial lab rates are negotiated separately and vary widely by payer and by whether the test is run by an independent lab, a hospital outpatient lab or a physician office lab.
This page lists the rates commercial payers have published for CPT 83036 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.