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See a sample rate comparisonCPT 83695 Fee Schedule
Medicare rates as of January 2026
CPT 83695 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| 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 | $14.32 national lab fee schedule rate (2026) · View Medicare rates for 83695 |
| Medicaid Fee Schedule | $14.32 median of the 8 states in the free preview · View Medicaid rates for 83695 |
National average reimbursement for CPT 83695 by major payers:
$12.06
BCBS / Anthem
$9.70
UnitedHealthcare
$15.51
Aetna
$45.30
Cigna
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CPT 83695
5 of 25 sample ratesHigher to lower in this preview
Monroe Surgical Hospital, LLC
Monroe Surgical Hospital
$18.90Published rateDecatur Health Services, LLC
$14.31Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$14.31Published rateClhg-Leesville, Byrd Regional Hospital
$10.85Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$5.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83695 vs. Other Chemistry Procedures Codes
The table lists codes related to 83695. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 83695-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. |
| 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. |
| 83700-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 83695. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83695 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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Frequently Asked Questions
To find out the cost of a medical procedure before you have it, you can contact your insurance provider directly or the healthcare facility where you plan to receive care. For a more direct way to look up typical costs based on specific CPT codes and your location, you can use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that can help you estimate costs for various medical services.
CPT stands for Current Procedural Terminology. CPT codes are a set of standardized medical codes used by physicians, hospitals, and other healthcare providers to describe the services they provide to patients. They are essential for understanding healthcare costs because they standardize the billing process, allowing insurance companies and patients to see exactly what services were performed and what they are being charged for. Knowing the CPT code for a service can help you research its cost using tools like Payerprice.
A fee schedule in healthcare is a comprehensive listing of the fees that a physician or other healthcare provider may charge for specific services. It outlines the maximum reimbursement amounts for various medical procedures, tests, and services. Fee schedules are used by insurance companies to determine how much they will pay for a given service, and they can vary significantly by payer, plan, and geographic location. Tools like Payerprice provide access to fee schedule data.
For specific healthcare costs based on CPT codes and your location, you can utilize tools designed for price transparency. Payerprice offers a fee schedule lookup tool specifically for this purpose. You can use their platform to search with a CPT code and your specific location to get an estimate of typical costs from various payers.
Yes, there are tools available to help compare prices and understand cost ranges. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations. This can help you understand the typical range of costs for a service based on various payer fee schedules, which is valuable information when comparing potential costs. For exact provider-specific prices, direct inquiry with the providers themselves is also recommended after using a tool like Payerprice to understand the general cost landscape.