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See a sample rate comparisonCPT 84157 Fee Schedule
Medicare rates as of January 2026
CPT 84157 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Total Body Protein Test, This Test Measures The Quantity Of Proteins Traveling Through Body Fluids Rather Than Moving Into Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.00 national lab fee schedule rate (2026) · View Medicare rates for 84157 |
| Medicaid Fee Schedule | $3.95 median of the 8 states in the free preview · View Medicaid rates for 84157 |
National average reimbursement for CPT 84157 by major payers:
$3.57
BCBS / Anthem
$2.72
UnitedHealthcare
$4.68
Aetna
$5.81
Cigna
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CPT 84157
5 of 25 sample ratesHigher to lower in this preview
The Neuroscience Group Of Northeast Wisconsin, Sc, Neuroscience Group
Neuroscience Group Of Northeast Wisconsin, S.C.
$9.85Published rateBethany Rothe
Neuroscience Group Of Northeast Wisconsin, S.C.
$9.85Published rateRichard Gammon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.03Published rateMereena Thayil
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.03Published rateChristopher Sanchez
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.03Published rate
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See a sample payer proposalCPT 84157 vs. Other Chemistry Procedures Codes
The table lists codes related to 84157. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84134-CPT | Low | Malnutrition Testing, The Test Measures Prealbumin A Protein Related To Malnutrition. Large Amounts Of Prealbumin Usually Indicate An Imbalance. |
| 84155-CPT | Low | Total Blood Protein Test, The Total Blood Protein Test Measures The Amount Of Proteins Present In A Blood Sample. Typically These Are Proteins Made By The Liver Or Immune System. |
| 84156-CPT | Low | Total Urine Protein Test, The Total Urine Protein Test Helps To Assess Kidney Health By Measuring The Level Of Protein Present In The Kidneys. |
| 84157-CPT | Low | Total Body Protein Test, This Test Measures The Quantity Of Proteins Traveling Through Body Fluids Rather Than Moving Into Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84157. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84157 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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