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See a sample rate comparisonCPT 83036 Fee Schedule
Last Verified: September 2026
Healthcare 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.
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 | None QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83036 |
| Medicaid Fee Schedule | View Medicaid rates for 83036 |
National average reimbursement for CPT 83036 by major payers:
$10.04
$7.03
$12.54
$14.38
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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 CPT 83036 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 83036 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 |
|---|---|---|
| 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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