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See a sample rate comparisonCPT 83970 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.28 national lab fee schedule rate (2026) · View Medicare rates for 83970 |
| Medicaid Fee Schedule | $37.98 median of the 8 states in the free preview · View Medicaid rates for 83970 |
National average reimbursement for CPT 83970 by major payers:

$35.11
BCBS / Anthem

$29.42
UnitedHealthcare

$50.74
Aetna

$60.33
Cigna
Choose a payer to see a sample of rates for CPT 83970.
Tinsay Woreta
Johns Hopkins University
Lindy Rachal
Fredricksburg Physicians No 1
Central Texas Digestive Disease Association, PA, Central Texas Gastroenterology Consultants
Central Texas Digestive Disease, P.A.
Silvia Sy
Silvia Castillo-Sy, M.D., P.A.
Hussien Elsiesy
Capitol Gastro PA
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 83970 vs. Other Chemistry Procedures Codes
The table lists codes related to 83970. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83937-CPT | Low | Bone Density Testing, Bone Density Testing May Measure The Amount Of A Protein Called Osteocalcin. This Protein Plays A Role In Both The Formation Of Bone And Maintaining Mineral Density Within It. |
| 83970-CPT | Low | Parathyroid Hormone Test, Pth (Parathyroid Hormone) Helps The Body Absorb And Use Calcium And Phosphorus. Both Minerals Affect Bone Health. This Blood Test Identifies High Levels Of Pth Which Indicates The Body Is Losing Calcium And Phosphorus. |
| 84146-CPT | Low | Prolactin Hormone Test, Prolactin Is A Hormone Made By The Pituitary Gland. It Affects Fertility And Production And Release Of Other Hormones. |
| 84181-CPT | Low | Test To Confirm Diagnosis, This Test Is Performed On Blood Or Another Body Fluid. It Is Used To Confirm A Diagnosis After Previous Tests Have Indicated That A Disease May Be Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83970. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83970 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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