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See a sample rate comparisonCPT 84181 Fee Schedule
Medicare rates as of January 2026
CPT 84181 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test To Confirm Diagnosis, This Test Is Performed On Blood Or Another Body Fluid. It Is Used To Confirm A Diagnosis After Previous Tests Have Indicated That A Disease May Be Present.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.03 national lab fee schedule rate (2026) · View Medicare rates for 84181 |
| Medicaid Fee Schedule | $14.79 median of the 8 states in the free preview · View Medicaid rates for 84181 |
National average reimbursement for CPT 84181 by major payers:
$18.83
BCBS / Anthem
$11.80
UnitedHealthcare
$21.23
Aetna
$28.64
Cigna
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CPT 84181
5 of 25 sample ratesHigher to lower in this preview
Scott & White Memorial Hospital, Baylor Scott & White Medical Center - Temple
Scott & White Clinic
$36.83Published ratePhysicians Surgical Hospitals, LLC
Physicians Surgical Hospitals LLC
$17.03Published rateChca Conroe Lp, Conroe Regional Medical Center
Chca Conroe Lp
$17.03Published rateEl Paso County Hospital District, University Medical Center Of El Paso
El Paso County Hospital District
$10.13Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$6.46Published rate
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See a sample payer proposalCPT 84181 vs. Other Chemistry Procedures Codes
The table lists codes related to 84181. 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. |
| 83987-CPT | Low | Screening Test For Asthma, Test To Evaluate The Severity Of Asthma By Measuring The Ph Level Of Condensation From Breathing Out. |
| 83992-CPT | Low | Pcp Drug Screening, The Test Measures A Random Urine Sample For The Presence Of Pcp (Angel Dust). This Type Of Drug Testing Is Usually Done To Confirm Drug Abuse Or Overdose. |
| 84181-CPT | Low | Test To Confirm Diagnosis, This Test Is Performed On Blood Or Another Body Fluid. It Is Used To Confirm A Diagnosis After Previous Tests Have Indicated That A Disease May Be Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84181 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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