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See a sample rate comparisonCPT 83857 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.
Blood Protein Test, This Blood Protein Test Checks For Methemalbumin. It Is Present In The Blood When An Illness Or Disease Process Is Destroying Red Blood Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83857 |
| Medicaid Fee Schedule | View Medicaid rates for 83857 |
National average reimbursement for CPT 83857 by major payers:
$9.72
$7.55
$12.00
$15.78
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CPT 83857
5 of 25 sample ratesHigher to lower in this preview
Tyler Regional Hospital LLC
$31.50Published rateChristopher Raio
St Francis Hospital
$12.76Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$10.73Published rateBellville Hospital District, Bellville General Hospital
Bellville Medical Center
$6.30Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Health Arklatex
$4.51Published rate
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See a sample payer proposalCPT 83857 vs. Other Chemistry Procedures Codes
The CPT 83857 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 83857 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 |
|---|---|---|
| 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). |
| 83835-CPT | Low | Stress Hormone Test, This Test For Stress Hormones Can Help Identify Whether Symptoms Are Related To Severe Stress Or An Adrenal Gland Tumor. |
| 83857-CPT | Low | Blood Protein Test, This Blood Protein Test Checks For Methemalbumin. It Is Present In The Blood When An Illness Or Disease Process Is Destroying Red Blood Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83857. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83857 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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