CPT 83521 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Chemistry Procedures |
| Common Place of Service | • 81 - Independent Laboratory • 11 - Office |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 91 - Repeat Lab Test |
| Complexity Level | Low |
National average reimbursement for CPT 83521 by major payers:
$13.37
$10.42
$17.35
$55.19
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 83521 | ||||||
United | 83521 | $6.03 | 1306907407 - ABELARDO ARANGO | 592111544 - (FL) ABELARDO ARANGO MD PA | FL | Surgery Physician (208600000X) |
United | 83521 | $6.03 | 1457562159 - LUIS PENA-HERNANDEZ | 650580501 - (FL) MEDICAL SPECIALISTS OF THE PALM BEACHES INC | FL | Pulmonary Disease Physician (207RP1001X) |
United | 83521 | $49.13 | 1144259730 - VINCENT BIRD | 591680273 - FLORIDA CLINICAL PRACTICE ASSOCIATION INC | FL | Urology Physician (208800000X) |
United | 83521 | $7.25 | 1114422979 - ANDREA RAMIREZ | 223891132 - (FL) LUNG ASSOCIATES OF SARASOTA LLC | FL | Pulmonary Disease Physician (207RP1001X) |
United | 83521 | $10.35 | 1821208778 - JESSICA TUNIS | 590725553 - (FL) ADVENTIST HEALTH SYSTEM-SUNBELT INC | FL | Surgery Physician (208600000X) |
United | 83521 | $7.25 | 1144315821 - MARK MATHIESON | 812807385 - (FL) STERLING PLASTIC & RECONSTRUCTIVE SURGEONS, P.A. | FL | Dermatology Physician (207N00000X) |
United | 83521 | $8.81 | 1245768365 - AHMED ALLAWI | 462021581 - FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Colon & Rectal Surgery Physician (208C00000X) |
United | 83521 | $7.25 | 1376689232 - SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA | 591362995 - (FL) SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD PA | FL | Surgery Physician (208600000X) |
United | 83521 | $7.25 | 1235450479 - ILYA LIM | 592949132 - (FL) DOUGLAS K PIERCE MD PA | FL | Dermatology Physician (207N00000X) |
United | 83521 | $7.25 | 1871771337 - MONICA K BEDI MD PA, DERMATOLOGY ASSOCIATES OF SARASOTA | 460494983 - (FL) MONICA K BEDI MD PA | FL | Dermatology Physician (207N00000X) |
United | 83521 | $6.03 | 1528086717 - ROBERT MERRITT | 650303665 - (FL) FLORIDA ENT ASSOCIATES INC | FL | Otolaryngology Physician (207Y00000X) |
United | 83521 | $10.35 | 1457354490 - JOHN LEONE | 462021581 - FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Surgery Physician (208600000X) |
United | 83521 | $6.03 | 1184934325 - DR. RAFAEL R. PORTELA PA | 591271554 - (FL) DR RAFAEL R PORTELA PA | FL | Otolaryngology Physician (207Y00000X) |
United | 83521 | $7.25 | 1437684032 - JEREMY CAUDILL DO | 821122533 - (FL) JEREMY CAUDILL DO | FL | Surgery Physician (208600000X) |
United | 83521 | $7.25 | 1356439855 - CONRAD SIMPFENDORFER | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | FL | Surgery Physician (208600000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 83521 vs. Other Chemistry Procedures Codes
The CPT 83521 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 83521 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 |
|---|---|---|
| 83003-CPT | Low | Growth Hormone Human (Somatotropin) |
| 83516-CPT | Low | Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen; Qualitative Or Semiquantitative, Multiple Step Method |
| 83518-CPT | Low | Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen; Qualitative Or Semiquantitative, Single Step Method (Eg, Reagent Strip) |
| 83521-CPT | Low | Immunoglobulin Light Chains (I.E., Kappa, Lambda), Free, Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83521. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83521 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 83521) and we'll show you how you compare in 15 minutes or less.