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See a sample rate comparisonCPT 83789 Fee Schedule
Medicare rates as of January 2026
CPT 83789 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Mass Spectrometry Qual Quan, Mass Spectrometry And Tandem Mass Spectrometry Eg Ms Ms Ms Maldi Ms Tof Qtof Non Drug Analyte S Not Elsewhere Specified Qualitative Or Quantitative Each Specimen
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.11 national lab fee schedule rate (2026) · View Medicare rates for 83789 |
| Medicaid Fee Schedule | $23.81 median of the 8 states in the free preview · View Medicaid rates for 83789 |
National average reimbursement for CPT 83789 by major payers:
$19.18
BCBS / Anthem
$14.50
UnitedHealthcare
$23.42
Aetna
$35.68
Cigna
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CPT 83789
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$24.11Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$17.62Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$14.47Published rateTitus County Hospital District, Titus Regional Medical Center
$10.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83789 vs. Other Chemistry Procedures Codes
The table lists codes related to 83789. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 83701-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. |
| 83789-CPT | Low | Mass Spectrometry Qual Quan, Mass Spectrometry And Tandem Mass Spectrometry Eg Ms Ms Ms Maldi Ms Tof Qtof Non Drug Analyte S Not Elsewhere Specified Qualitative Or Quantitative Each Specimen |
| 83880-CPT | Low | Peptide Hormone Test, This Test Measures The Quantity Of Peptide Hormones In A Blood Sample And Can Help To Diagnose Various Types Of Heart Failure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83789. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83789 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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