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See a sample rate comparisonCPT 84066 Fee Schedule
Medicare rates as of January 2026
CPT 84066 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Prostate Enzyme Test, This Test Screens Men For Prostatic Acid Phosphatase An Enzyme Found In The Blood That Is Associated With Prostate Cancer.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.66 national lab fee schedule rate (2026) · View Medicare rates for 84066 |
| Medicaid Fee Schedule | $9.54 median of the 8 states in the free preview · View Medicaid rates for 84066 |
National average reimbursement for CPT 84066 by major payers:
$8.60
BCBS / Anthem
$6.90
UnitedHealthcare
$11.04
Aetna
$14.30
Cigna
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CPT 84066
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$13.50Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$9.77Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$5.80Published rateBrittany Ptachick
Hroa 401k Plan
$4.06Published rate
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See a sample payer proposalCPT 84066 vs. Other Chemistry Procedures Codes
The table lists codes related to 84066. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84060-CPT | Low | Acid Phosphatase Test, Acid Phosphatase Is An Enzyme That Frees Phosphates During Digestion. It Is Found In Organs And The Blood. Testing For Levels Is Useful In Assessing Cancers Affecting Skeletal Muscle Leukemia And In Staging Prostate Cancer. |
| 84066-CPT | Low | Prostate Enzyme Test, This Test Screens Men For Prostatic Acid Phosphatase An Enzyme Found In The Blood That Is Associated With Prostate Cancer. |
| 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 84066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84066 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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