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See a sample rate comparisonCPT 83861 Fee Schedule
Medicare rates as of January 2026
CPT 83861 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Dry Eye, This Test Measures The Amount Of Natural Salt Present In Tears. Large Amounts Of Salt Can Indicate A Condition Called Dry Eye In Which The Eyes Feel Dry All The Time.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | QW - CLIA Waived Tests RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.48 national lab fee schedule rate (2026) · View Medicare rates for 83861 |
| Medicaid Fee Schedule | $22.20 median of the 8 states in the free preview · View Medicaid rates for 83861 |
National average reimbursement for CPT 83861 by major payers:
$18.58
BCBS / Anthem
$17.97
UnitedHealthcare
$22.36
Aetna
$57.31
Cigna
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CPT 83861
5 of 25 sample ratesHigher to lower in this preview
Robert Johnson
West Coast Retina Med. Group Inc.
$29.21Published rateWilliam Mcree
Pacific Eye Surgeons, A California Professional Medical Corporation
$19.11Published rateThai Tran
Thai Tran Optometry Corporation
$13.50Published rateIoana Swikard
North County Eye Center, Inc.
$13.48Published rateJames Mccaffery Md A Professional Corp, Glendale Eye Medical Group, Inc.
Glendale Eye Medical Group, Inc.
$13.48Published rate
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See a sample payer proposalCPT 83861 vs. Other Chemistry Procedures Codes
The table lists codes related to 83861. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 83861-CPT | Low | Test For Dry Eye, This Test Measures The Amount Of Natural Salt Present In Tears. Large Amounts Of Salt Can Indicate A Condition Called Dry Eye In Which The Eyes Feel Dry All The Time. |
| 83872-CPT | Low | Joint Fluid Test, Fluid From A Joint (Synovial Fluid) Is Mixed With A Chemical To Find Out If It Clumps Together. The Test Is Used To Evaluate The Possibility Of An Inflammatory Joint Condition. |
| 83918-CPT | Low | Testing For Organic Acids, The Test Measures The Quantity Of An Organic Acid (Such As Fatty Acids Sugars Yeasts And Bacteria) In A Urine Sample. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83861. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83861 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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