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 84152 Fee Schedule
Medicare rates as of January 2026
CPT 84152 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.39 national lab fee schedule rate (2026) · View Medicare rates for 84152 |
| Medicaid Fee Schedule | $18.16 median of the 8 states in the free preview · View Medicaid rates for 84152 |
National average reimbursement for CPT 84152 by major payers:
$16.00
BCBS / Anthem
$14.28
UnitedHealthcare
$20.40
Aetna
$26.57
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84152.
CPT 84152
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$40.46Published rateChristopher Raio
St Francis Hospital
$24.27Published ratePelham Medical Center
$18.38Published rateChristopher Raio
St Joseph Hospital
$11.03Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$9.93Published 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 84152 vs. Other Chemistry Procedures Codes
The table lists codes related to 84152. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 84154-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 84152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84152 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 84152) and we'll show you how you compare in 15 minutes or less.