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See a sample rate comparisonCPT 83872 Fee Schedule
Medicare rates as of January 2026
CPT 83872 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.86 national lab fee schedule rate (2026) · View Medicare rates for 83872 |
| Medicaid Fee Schedule | $5.785 median of the 8 states in the free preview · View Medicaid rates for 83872 |
National average reimbursement for CPT 83872 by major payers:
$5.19
BCBS / Anthem
$4.14
UnitedHealthcare
$6.68
Aetna
$8.50
Cigna
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CPT 83872
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$10.85Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$5.89Published rateColumbia Hospital At Medical City Dallas Subsidiary Lp, Medical City Dallas
$5.86Published rateRolling Plains Memorial Hospital
The Nolan County Hospital District
$3.44Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$2.04Published rate
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See a sample payer proposalCPT 83872 vs. Other Chemistry Procedures Codes
The table lists codes related to 83872. Select one to see its fee schedule.
| 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). |
| 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. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83872. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83872 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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