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See a sample rate comparisonCPT 84160 Fee Schedule
Medicare rates as of January 2026
CPT 84160 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 | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.61 national lab fee schedule rate (2026) · View Medicare rates for 84160 |
| Medicaid Fee Schedule | $5.36 median of the 8 states in the free preview · View Medicaid rates for 84160 |
National average reimbursement for CPT 84160 by major payers:
$4.81
BCBS / Anthem
$3.82
UnitedHealthcare
$5.97
Aetna
$8.21
Cigna
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CPT 84160
5 of 25 sample ratesHigher to lower in this preview
Scott & White Memorial Hospital, Baylor Scott & White Medical Center - Temple
Scott & White Clinic
$10.80Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Northeast Campus
Hcn Ep Horizon City LLC
$5.61Published rateEctor County Hospital District, Medical Center Hospital
$5.61Published rateTenet Hospitals Limited, The Hospitals Of Providence East Campus
$5.61Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$2.35Published rate
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See a sample payer proposalCPT 84160 vs. Other Chemistry Procedures Codes
The table lists codes related to 84160. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84100-CPT | Low | Phosphorus Trace Element Test, The Phosphorus Test Checks For Calcium Absorption And Kidney Function. Phosphorus Is A Trace Element Required For Proper Digestion Bone Formation And Kidney Health. It Aids The Balance Of Calcium Potassium And Glucose. |
| 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. |
| 84150-CPT | Low | Prostaglandin Test, Prostaglandins Are Substances That Mimic Hormones In Their Actions. They Are Used In A Wide Variety Of Ways Ranging From Stimulating Uterine Contractions To Reducing Pressure In The Eye. |
| 84160-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 84160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84160 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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