Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 83986 Fee Schedule
Medicare rates as of January 2026
CPT 83986 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test Body Acid-Base Balance, The Test Measures The Acid-Alkaline Balance (Ph) In A Body Fluid. Ph Balance Helps The Physician Understand The Nature Cause Or Direction Of A Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $3.58 national lab fee schedule rate (2026) · View Medicare rates for 83986 |
| Medicaid Fee Schedule | $3.535 median of the 8 states in the free preview · View Medicaid rates for 83986 |
National average reimbursement for CPT 83986 by major payers:
$3.19
BCBS / Anthem
$3.29
UnitedHealthcare
$4.41
Aetna
$5.33
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 83986.
CPT 83986
5 of 25 sample ratesHigher to lower in this preview
Pmc Hospital, LLC, St. Luke'S Patients Medical Center
Pmc Hospital, LLC
$6.63Published rateChca Clear Lake Lp, Hca Houston Healthcare Clear Lake
$3.57Published ratePrisma Health-Upstate, Prisma Health Ctr For Ped & Int Med-West
Prisma Health - Upstate
$3.22Published rateThe Good Shepherd Hospital, Inc., Christus Good Shepherd Medical Center - Longview
Good Shepherd Hospital Inc
$3.03Published rateCumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
$1.28Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 83986 vs. Other Chemistry Procedures Codes
The table lists codes related to 83986. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83986-CPT | Low | Test Body Acid-Base Balance, The Test Measures The Acid-Alkaline Balance (Ph) In A Body Fluid. Ph Balance Helps The Physician Understand The Nature Cause Or Direction Of A Disease. |
| 83987-CPT | Low | Screening Test For Asthma, Test To Evaluate The Severity Of Asthma By Measuring The Ph Level Of Condensation From Breathing Out. |
| 83992-CPT | Low | Pcp Drug Screening, The Test Measures A Random Urine Sample For The Presence Of Pcp (Angel Dust). This Type Of Drug Testing Is Usually Done To Confirm Drug Abuse Or Overdose. |
| 84105-CPT | Low | Phosphorus Trace Element Test, The Urine Phosphorus Test Checks For Calcium Absorption And Kidney Function. Phosphorus Is A Trace Element Required For Proper Digestion Bone Formation And Kidney Health. It Aids The Balance Of Calcium Potassium And Glucose. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83986. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83986 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 83986) and we'll show you how you compare in 15 minutes or less.