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See a sample rate comparisonCPT 83874 Fee Schedule
Medicare rates as of January 2026
CPT 83874 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Muscle Protein Test, The Myoglobin Test Examines A Sample Of Either Blood Or Urine. Myoglobin Is A Key Protein That Helps Muscles Hold Onto Oxygen Needed For Long Periods Of Physical Activity. The Test Helps Diagnose Heart Attack And Assess Injuries To Muscle And Bone.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 91 - Repeat Lab Test 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.92 national lab fee schedule rate (2026) · View Medicare rates for 83874 |
| Medicaid Fee Schedule | $12.76 median of the 8 states in the free preview · View Medicaid rates for 83874 |
National average reimbursement for CPT 83874 by major payers:
$11.34
BCBS / Anthem
$9.38
UnitedHealthcare
$15.40
Aetna
$18.56
Cigna
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CPT 83874
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$19.38Published rateChristopher Raio
St Francis Hospital
$15.35Published rateEmerus Bhs Sa Thousand Oaks LLC
$12.92Published rateHospital Service District 1 Of East Baton Rouge Parish, Lane Regional Medical Center
$12.92Published rateTh Healthcare, Ltd, Nacogdoches Medical Center
$4.46Published rate
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See a sample payer proposalCPT 83874 vs. Other Chemistry Procedures Codes
The table lists codes related to 83874. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 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. |
| 83873-CPT | Low | Myelin Basic Protein Csf |
| 83874-CPT | Low | Muscle Protein Test, The Myoglobin Test Examines A Sample Of Either Blood Or Urine. Myoglobin Is A Key Protein That Helps Muscles Hold Onto Oxygen Needed For Long Periods Of Physical Activity. The Test Helps Diagnose Heart Attack And Assess Injuries To Muscle And Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83874. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83874 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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