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See a sample rate comparisonCPT 84145 Fee Schedule
Medicare rates as of January 2026
CPT 84145 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Bacteria Infection, The Procalcitonin (Pct) Test Is Used For Early Identification And Diagnosis Of Sepsis. Sepsis Is A Severe Bacterial Infection Of The Blood.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $27.22 national lab fee schedule rate (2026) · View Medicare rates for 84145 |
| Medicaid Fee Schedule | $25.07 median of the 8 states in the free preview · View Medicaid rates for 84145 |
National average reimbursement for CPT 84145 by major payers:
$25.36
BCBS / Anthem
$17.50
UnitedHealthcare
$29.94
Aetna
$70.94
Cigna
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CPT 84145
5 of 25 sample ratesHigher to lower in this preview
Kph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$27.21Published rateBrian Morse
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$16.32Published rateAlejandra Riveron
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$16.32Published rateIan Loy
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$13.88Published rateMelissa Aguilera
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$13.88Published rate
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See a sample payer proposalCPT 84145 vs. Other Chemistry Procedures Codes
The table lists codes related to 84145. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84145-CPT | Low | Test For Bacteria Infection, The Procalcitonin (Pct) Test Is Used For Early Identification And Diagnosis Of Sepsis. Sepsis Is A Severe Bacterial Infection Of The Blood. |
| 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. |
| 84160-CPT | Low | Total Body Protein Test, This Test Measures The Quantity Of Proteins Traveling Through Body Fluids Rather Than Moving Into Cells. |
| 84163-CPT | Low | Pregnancy Plasma Protein Test, Pregnancy Associated Plasma Protein-A (Papp-A) Is A Blood Test That Can Help Identify Whether A Fetus Is At Risk For Down Syndrome. It Can Also Alert A Physician To Potential Heart Problems. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84145 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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