Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 83630 Fee Schedule
Medicare rates as of January 2026
CPT 83630 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $19.70 national lab fee schedule rate (2026) · View Medicare rates for 83630 |
| Medicaid Fee Schedule | $18.125 median of the 8 states in the free preview · View Medicaid rates for 83630 |
National average reimbursement for CPT 83630 by major payers:
$17.16
BCBS / Anthem
$13.76
UnitedHealthcare
$21.98
Aetna
$52.85
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 83630.
CPT 83630
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$37.39Published rateAhs Hospital Corp., Morristown Medical Center
Atlantic Health System Inc
$22.25Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$14.33Published rateLeon Home Health, LLC, Leon At Home
$11.22Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$6.90Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 83630 vs. Other Chemistry Procedures Codes
The table lists codes related to 83630. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83630-CPT | Low | Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd). |
| 83631-CPT | Low | Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd). |
| 83632-CPT | Low | Hpl Hormone Blood Test, This Blood Test Measures Human Placental Lactogen (Hpl) A Hormone That Provides Nutrition For The Fetus. It Is A Measure Of Fetal Health And Age And Can Also Give An Indication Of General Placenta Function. |
| 83633-CPT | Low | Urine Test For Sugar (Lactose), The Test Identifies Imbalances In Lactose Excretion. A Large Amount Indicates A Lactose Intolerance Whereas None Or A Very Small Amount Suggests That Calcium Is Not Being Absorbed Properly. The Result May Be Reported Simply As Positive Or Negative. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83630 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 83630) and we'll show you how you compare in 15 minutes or less.