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See a sample rate comparisonCPT 83527 Fee Schedule
Last Verified: October 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.
Test For Low Blood Sugar, This Test Measures The Total Amount Of Insulin In A Blood Sample. The Test Is Used To Identify The Cause Of Low Blood Sugar (Hypoglycemia).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.95 national lab fee schedule rate (2026) · View Medicare rates for 83527 |
| Medicaid Fee Schedule | $12.22 median of the 8 states in the free preview · View Medicaid rates for 83527 |
National average reimbursement for CPT 83527 by major payers:
$11.33
$12.10
$15.25
$19.14
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CPT 83527
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$28.49Published rateChristopher Raio
St Francis Hospital
$17.09Published rateNorth Houston, Hca Houston Healthcare Tomball
$12.94Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$10.85Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$5.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83527 vs. Other Chemistry Procedures Codes
The CPT 83527 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 83527 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 |
|---|---|---|
| 83001-CPT | Low | Fertility Hormone Test, Fsh (Follicle-Stimulating Hormone) Is A Hormone Made In The Pituitary Gland That Stimulates Ova (Eggs) Or Sperm To Mature. The Test Checks Blood Or A 24-Hour Urine Sample. |
| 83525-CPT | Low | Test For Low Blood Sugar, This Test Measures The Total Amount Of Insulin In A Blood Sample. The Test Is Used To Identify The Cause Of Low Blood Sugar (Hypoglycemia). |
| 83527-CPT | Low | Test For Low Blood Sugar, This Test Measures The Total Amount Of Insulin In A Blood Sample. The Test Is Used To Identify The Cause Of Low Blood Sugar (Hypoglycemia). |
| 83528-CPT | Low | Vitamin B12 Usage Test, The Test For Vitamin B12 Absorption Detects A Protein Called Intrinsic Factor That Should Be Present In The Stomach. B12 Is Used By Every Cell In The Body And Is Especially Important For The Brain Nervous System And Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83527. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83527 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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