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See a sample rate comparisonCPT 83950 Fee Schedule
Medicare rates as of January 2026
CPT 83950 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Her-2/Neu Breast Cancer Test, This Test Analyzes Hormone Markers For The Likely Aggressiveness Of A Breast Cancer. The Test Also Can Help Predict How Well A Particular Therapy Will Work.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component Q1 - Routine clinical service provided in a clinical research study |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.41 national lab fee schedule rate (2026) · View Medicare rates for 83950 |
| Medicaid Fee Schedule | $63.605 median of the 8 states in the free preview · View Medicaid rates for 83950 |
National average reimbursement for CPT 83950 by major payers:
$54.51
BCBS / Anthem
$45.57
UnitedHealthcare
$70.60
Aetna
$94.58
Cigna
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CPT 83950
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$141.70Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$76.52Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Greer
Prisma Health - Upstate
$57.97Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$37.79Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$27.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83950 vs. Other Chemistry Procedures Codes
The table lists codes related to 83950. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83950-CPT | Low | Her-2/Neu Breast Cancer Test, This Test Analyzes Hormone Markers For The Likely Aggressiveness Of A Breast Cancer. The Test Also Can Help Predict How Well A Particular Therapy Will Work. |
| 83951-CPT | Low | Dcp Cancer Protein Test, This Test Analyzes The Hormone Marker Dcp (Des-Gamma-Carboxy-Prothrombin) For The Likely Aggressiveness Of A Cancer. The Test Also Can Help Predict How Well A Particular Therapy Will Work. |
| 84152-CPT | Low | Prostate Test (Psa), Prostate Specific Antigen (Psa) Tests Include: Complex Psa Which Attaches To A Protein And Is Easiest To Measure. Free Psa Helps Calculate The Relative Severity Of A Condition. Total Psa Helps Monitor Treatment After A Biopsy Or Prostate Removal. |
| 84153-CPT | Low | Prostate Test (Psa), Prostate Specific Antigen (Psa) Tests Include: Complex Psa Which Attaches To A Protein And Is Easiest To Measure. Free Psa Helps Calculate The Relative Severity Of A Condition. Total Psa Helps Monitor Treatment After A Biopsy Or Prostate Removal. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83950 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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