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See a sample rate comparisonCPT 83951 Fee Schedule
Medicare rates as of January 2026
CPT 83951 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.41 national lab fee schedule rate (2026) · View Medicare rates for 83951 |
| Medicaid Fee Schedule | $64.41 median of the 8 states in the free preview · View Medicaid rates for 83951 |
National average reimbursement for CPT 83951 by major payers:
$55.71
BCBS / Anthem
$45.42
UnitedHealthcare
$68.46
Aetna
$115.81
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 83951.
CPT 83951
5 of 25 sample ratesHigher to lower in this preview
Rebecca Griffith
Atlantic Health System Inc
$95.68Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$85.02Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$64.41Published rateHans Henriquez
Progressive Medical Center, S.C.
$37.59Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$22.78Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83951 vs. Other Chemistry Procedures Codes
The table lists codes related to 83951. 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 83951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83951 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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