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See a sample rate comparisonCPT 83916 Fee Schedule
Medicare rates as of January 2026
CPT 83916 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Cerebrospinal Fluid Test, This Test Removes A Sample Of Cerebrospinal Fluid To Look For Oligoclonal Bands. The Bands Represent Inflammation Within The Central Nervous System.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $27.39 national lab fee schedule rate (2026) · View Medicare rates for 83916 |
| Medicaid Fee Schedule | $27.05 median of the 8 states in the free preview · View Medicaid rates for 83916 |
National average reimbursement for CPT 83916 by major payers:
$21.89
BCBS / Anthem
$16.89
UnitedHealthcare
$27.77
Aetna
$40.05
Cigna
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CPT 83916
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$41.09Published rateWoman'S Hospital Foundation, Woman'S Hospital
Womans Hospital Foundation
$27.38Published rateCherokee Medical Center, Cmc Wound Services
$27.38Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$27.38Published rateBsa Hospital LLC
$11.50Published rate
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See a sample payer proposalCPT 83916 vs. Other Chemistry Procedures Codes
The table lists codes related to 83916. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83775-CPT | Low | Enzyme Test, This Test Measures Malate Dehydrogenase An Enzyme That Influences The Processes That Produce Energy For Cells. |
| 83883-CPT | Low | Lab Test Of Particle Density, Nephelometry Measures The Concentration Of Particles Suspended In A Liquid. This Technique Is Used Widely In Immune Studies And For Measuring Albumin (A Protein) In Body Fluids. Albumin Maintains The Balance Of Water In Blood And Tissues. |
| 83916-CPT | Low | Cerebrospinal Fluid Test, This Test Removes A Sample Of Cerebrospinal Fluid To Look For Oligoclonal Bands. The Bands Represent Inflammation Within The Central Nervous System. |
| 83921-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 83916. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83916 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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