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 84202 Fee Schedule
Medicare rates as of January 2026
CPT 84202 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.35 national lab fee schedule rate (2026) · View Medicare rates for 84202 |
| Medicaid Fee Schedule | $13.20 median of the 8 states in the free preview · View Medicaid rates for 84202 |
National average reimbursement for CPT 84202 by major payers:
$12.75
BCBS / Anthem
$10.03
UnitedHealthcare
$15.93
Aetna
$20.90
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84202.
CPT 84202
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$35.00Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$18.86Published rateChristopher Raio
Mercy Medical Center
$13.52Published rateChristopher Raio
Mercy Medical Center
$8.61Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$5.01Published 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 84202 vs. Other Chemistry Procedures Codes
The table lists codes related to 84202. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84202-CPT | Low | Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity. |
| 84203-CPT | Low | Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity. |
| 84260-CPT | Low | Serotonin Test, This Test Evaluates Either A Blood Or Spinal Fluid Sample For Serotonin. The Test Is Used To Help In Diagnosis Of Severe Depression Or Intestinal Tumors That Affect Serotonin Levels. |
| 84432-CPT | Low | Test Thyroid Immune Function, The Test Evaluates The Immune Function Of The Thyroid Gland By Checking For Thyroglobulin An Antibody That Causes The Thyroid Gland To Self-Destruct. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84202 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 84202) and we'll show you how you compare in 15 minutes or less.