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See a sample rate comparisonCPT 84154 Fee Schedule
Medicare rates as of January 2026
CPT 84154 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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.39 national lab fee schedule rate (2026) · View Medicare rates for 84154 |
| Medicaid Fee Schedule | $18.16 median of the 8 states in the free preview · View Medicaid rates for 84154 |
National average reimbursement for CPT 84154 by major payers:
$16.00
BCBS / Anthem
$13.18
UnitedHealthcare
$21.64
Aetna
$26.61
Cigna
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CPT 84154
5 of 25 sample ratesHigher to lower in this preview
Joseph Ameh
Florida Hospital Medical Group Inc
$28.85Published rateDouglas Swartz
Florida Physician Specialists LLC
$10.61Published rateSharla Patterson
Miami Urology Sexual Wellness Institute PA
$8.77Published ratePalm Harbor Dermatology PA
$7.71Published rateIgnacio Cendan
Pulmonary Physicians Of South Florida LLC
$6.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84154 vs. Other Chemistry Procedures Codes
The table lists codes related to 84154. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83950-CPT | Low | Her-2/Neu Breast Cancer Test, This Test Analyzes Hormone Markers For The Likely Aggressiveness Of A Breast Cancer. The Test Also Can Help Predict How Well A Particular Therapy Will Work. |
| 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 84154. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84154 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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