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 83718 Fee Schedule
Last Verified: September 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.
Hdl Test (Good Cholesterol), This Test Measures High-Density Lipoprotein (Hdl) Which Transports Cholesterol. It Is The Good Cholesterol Responsible For Decreasing Plaque Deposits Along The Walls Of Blood Vessels. Low Levels Are Linked To Heart Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83718 |
| Medicaid Fee Schedule | View Medicaid rates for 83718 |
National average reimbursement for CPT 83718 by major payers:
$7.35
$5.85
$9.86
$11.91
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 83718.
CPT 83718
5 of 25 sample ratesHigher to lower in this preview
Nisha Rao
Westchester Medical Center Advanced Physician Services PC
$25.72Published rateShafaq Tarar
Medical Offices Of Manhattan
$5.50Published rateShikha Broker
Mochi Medical Nj PC
$4.90Published rateEmmanuel Aydin
Valley Physician Services PC
$4.09Published rateMoutaz Ghrewati
Ccmma Nj LLC
$2.75Published 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 83718 vs. Other Chemistry Procedures Codes
The CPT 83718 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 83718 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 |
|---|---|---|
| 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. |
| 83718-CPT | Low | Hdl Test (Good Cholesterol), This Test Measures High-Density Lipoprotein (Hdl) Which Transports Cholesterol. It Is The Good Cholesterol Responsible For Decreasing Plaque Deposits Along The Walls Of Blood Vessels. Low Levels Are Linked To Heart Disease. |
| 83719-CPT | Low | Vldl Test (Bad Cholesterol), Vldl (Very Low Density Lipoprotein) Testing Measures Lipoproteins That Transport Fatty Acids Around The Body. The Test Result Is Used As A Predictor Of Heart Disease. |
| 83721-CPT | Low | Ldl Test (Bad Cholesterol), This Test Measures Low Density Lipoproteins (Ldl) Which Transport Cholesterol To Blood Vessels. If The Amounts Increase Then The Risk Of Heart Disease And Blocked Vessels Also Increase. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83718 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 83718) and we'll show you how you compare in 15 minutes or less.