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CPT 83525 Fee Schedule

Last Verified: December 2025

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.

Insulin
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

81 - Independent Laboratory

11 - Office

Common Modifiers

None

90 - Reference Laboratory

26 - Professional component

Complexity LevelLow

National average reimbursement for CPT 83525 by major payers:

bcbs

$9.96

uhc

$8.31

aetna

$13.78

cigna

$17.06

Preview provider-level rates for...
For billing codeCPT 83525
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 83525

United
83525$9.021851400485 - GEORGE HEMSTREET451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALInterventional Cardiology Physician (207RI0011X)
United
83525$15.971225087794 - AMARILLO VAMC751616212TXGeneral Acute Care Hospital (282N00000X)
United
83525$11.431831975572 - DECATUR HEALTH SERVICES, LLC932081386TXGeneral Acute Care Hospital (282N00000X)
United
83525$4.801003192311 - EL CAMPO MEMORIAL HOSPITAL452750258 - (TX) EL CAMPO MEMORIAL HOSPITALTXGeneral Acute Care Hospital (282N00000X)
United
83525$11.431609807122 - SPARTANBURG MEDICAL CENTER576000934SCGeneral Acute Care Hospital (282N00000X)
United
83525$11.431396129201 - UNION MEDICAL CENTER, UNION MEDICAL CENTER474491361SCGeneral Acute Care Hospital (282N00000X)
United
83525$13.721609971019 - SCURRY COUNTY HOSPITAL DISTRICT, COGDELL MEMORIAL HOSPITAL752403687 - (TX) SCURRY COUNTY HOSPITAL DISTRICTTXGeneral Acute Care Hospital (282N00000X)
United
83525$11.431295036770 - CRESCENT CITY SURGICAL CENTRE OPERATING COMPANY, L.L.C.270508997 - (LA) CRESCENT CITY SURGICAL CENTRELAGeneral Acute Care Hospital (282N00000X)
United
83525$11.431457382483 - AMISUB OF SOUTH CAROLINA, INC., PIEDMONT MEDICAL CENTER953561198 - (SC) AMISUB OF SOUTH CAROLINA INCSCGeneral Acute Care Hospital (282N00000X)
United
83525$9.591972590602 - PALO PINTO COUNTY HOSPITAL DISTRICT, PALO PINTO GENERAL HOSPITAL751256948TXGeneral Acute Care Hospital (282N00000X)
United
83525$11.431295723229 - ST FRANCIS MEDICAL CENTER, INC720408970 - (LA) ST FRANCIS MEDICAL CENTER INCLAGeneral Acute Care Hospital (282N00000X)
United
83525$13.721609807122 - SPARTANBURG MEDICAL CENTER576000934SCGeneral Acute Care Hospital (282N00000X)
United
83525$11.431457382483 - AMISUB OF SOUTH CAROLINA, INC., PIEDMONT MEDICAL CENTER953561198 - (SC) AMISUB OF SOUTH CAROLINA INCSCGeneral Acute Care Hospital (282N00000X)
United
83525$4.801750474516 - NORTHWEST TEXAS SURGICAL HOSPITAL, LLC, NORTHWEST TEXAS SURGERY CENTER233086987 - (TX) NORTHWEST TEXAS SURGICAL HOSPITAL LLCTXGeneral Acute Care Hospital (282N00000X)
United
83525$6.711700854288 - LAMB HEALTHCARE CENTER752388515 - (TX) LAMB HEALTHCARE CENTERTXGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 83525 vs. Other Chemistry Procedures Codes

The CPT 83525 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 83525 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.

CodeComplexityDescription
83001-CPTLowGonadotropin Follicle Stim Hormone
83002-CPTLowGonadotropin,Pituitary,Luteinizing Hormo
83003-CPTLowGrowth Hormone Human (Somatotropin)
83525-CPTLowInsulin

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83525 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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