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 84120 Fee Schedule
Medicare rates as of January 2026
CPT 84120 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Urine Test For Porphyrins, This Urine Porphyrin Test Is Used To Evaluate Enzyme Deficiencies Related To Protein Metabolism Needed To Properly Work With Iron In The Blood.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.71 national lab fee schedule rate (2026) · View Medicare rates for 84120 |
| Medicaid Fee Schedule | $13.53 median of the 8 states in the free preview · View Medicaid rates for 84120 |
National average reimbursement for CPT 84120 by major payers:
$12.91
BCBS / Anthem
$10.74
UnitedHealthcare
$17.11
Aetna
$21.57
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84120.
CPT 84120
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$32.36Published rateSpartanburg Medical Center
$17.64Published rateMcallen Hospitals L P, South Texas Health System
$14.71Published rateNocona Hospital District, Nocona General Hospital
$9.02Published rateChristopher Raio
St Francis Hospital
$7.94Published 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 84120 vs. Other Chemistry Procedures Codes
The table lists codes related to 84120. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84119-CPT | Low | Urine Test For Porphyrins, This Urine Porphyrin Test Is Used To Evaluate Enzyme Deficiencies Related To Protein Metabolism Needed To Properly Work With Iron In The Blood. |
| 84120-CPT | Low | Urine Test For Porphyrins, This Urine Porphyrin Test Is Used To Evaluate Enzyme Deficiencies Related To Protein Metabolism Needed To Properly Work With Iron In The Blood. |
| 84126-CPT | Low | Fecal Test For Porphyrins, Porphyrin Tests Are Useful For Evaluating Enzyme Deficiencies Related To Protein Metabolism Need To Properly Work With Iron In The Blood. |
| 84132-CPT | Low | Potassium Electrolyte Test, Potassium Is An Electrolyte Critical For Heart And Skeletal Muscles. The Blood Test Measures Overall Potassium. The Urine Test Verifies High Levels Related To Kidney Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84120 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 84120) and we'll show you how you compare in 15 minutes or less.