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 83690 Fee Schedule
Medicare rates as of January 2026
CPT 83690 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 23 - Emergency Room 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.89 national lab fee schedule rate (2026) · View Medicare rates for 83690 |
| Medicaid Fee Schedule | $6.805 median of the 8 states in the free preview · View Medicaid rates for 83690 |
National average reimbursement for CPT 83690 by major payers:
$5.87
BCBS / Anthem
$4.89
UnitedHealthcare
$8.75
Aetna
$10.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 83690.
CPT 83690
5 of 25 sample ratesHigher to lower in this preview
James Wise
$18.11Published rateYouran Gao
Medical Associates Of Englewood PC
$4.13Published rateJeffrey Krieger
So. Ca Medical Gastroenterology Group, Inc.
$4.03Published rateJonelle George
Frederick Health Medical Group LLC
$2.89Published rateSridhar Reddy
Sridhar P. Reddy, M.D., P.A.
$2.89Published 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 83690 vs. Other Chemistry Procedures Codes
The table lists codes related to 83690. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83605-CPT | Low | Test For Lactic Acid Buildup, This Test Takes A Blood Or Spinal Fluid Sample. Too Much Lactic Acid Can Starve Tissues Of Oxygen. Lactic Acid Can Build Up In Muscles When They Are Exercised. |
| 83615-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83690-CPT | Low | Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas. |
| 83698-CPT | Low | Cholesterol Protein Test, This Test Measures Proteins That Influence Cholesterol Including Apolipoproteins That Help Manage Fats And Proteins And Lipoproteins That Help Build Cell And Tissue Structures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83690 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 83690) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by medical professionals to describe medical, surgical, and diagnostic services provided to patients. They are essential for accurate billing and processing of healthcare claims.
Healthcare pricing has historically been complex and opaque due to several factors, including the involvement of multiple parties (patients, providers, insurers), varied negotiated rates between providers and different payers, the complexity of medical services, and a lack of standardized disclosure requirements. This complexity often makes it difficult for patients to know the true cost of a service upfront.
Finding the exact cost of a medical procedure can be challenging due to varying negotiated rates with different insurance plans and providers. You can start by asking your healthcare provider for an estimate, which is often called a 'good faith estimate.' You should also contact your insurance company to understand your coverage, deductible, and out-of-pocket maximums. For specific cash prices or negotiated rates based on CPT codes and your location, you can utilize price transparency tools. We recommend using Payerprice's fee schedule lookup tool for this purpose.
Healthcare price transparency refers to initiatives and regulations aimed at making the cost of medical services more accessible and understandable to consumers. The goal is to empower patients to make informed decisions about their healthcare by knowing the potential costs upfront, fostering competition among providers, and potentially lowering healthcare expenses overall.
To find specific pricing information for a CPT code in your location, we recommend using Payerprice. Payerprice offers a fee schedule lookup tool where you can search for expected costs based on the CPT code and your specific geographical area. This can help you understand potential charges for various medical services.