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See a sample rate comparisonCPT 84146 Fee Schedule
Medicare rates as of January 2026
CPT 84146 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Prolactin Hormone Test, Prolactin Is A Hormone Made By The Pituitary Gland. It Affects Fertility And Production And Release Of Other Hormones.
| 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 | $19.38 national lab fee schedule rate (2026) · View Medicare rates for 84146 |
| Medicaid Fee Schedule | $19.14 median of the 8 states in the free preview · View Medicaid rates for 84146 |
National average reimbursement for CPT 84146 by major payers:
$16.37
BCBS / Anthem
$13.81
UnitedHealthcare
$24.00
Aetna
$28.67
Cigna
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CPT 84146
5 of 25 sample ratesHigher to lower in this preview
Laboratory Corporation Of America
$39.24Published rateTimothy Sullinger
Teledigm Physician Services LLC
$11.63Published rateRyan Muehling
Renown Medical School Associates North Inc
$8.14Published rateMelanie Metcalf
University Physicians Incorporated
$8.14Published rateNola Macdonald
Integrative Center For Health
$8.14Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84146 vs. Other Chemistry Procedures Codes
The table lists codes related to 84146. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 84143-CPT | Low | Test For Hormone Problem, 17-Oh-Pregnenolone Is Related To Hormone Secretion And Normal Metabolic Wastes From The Adrenal Gland. This Hormone Is Tested For When A Condition Affecting Sexual Characteristics Is Suspected. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84146 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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