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 84233 Fee Schedule
Medicare rates as of January 2026
CPT 84233 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Breast Cancer Therapy Test, The Test Checks How A Sample Of Tissue (Biopsy) Responds To Chemotherapy Or Hormone Therapy That Has Been Proposed To Treat Breast Cancer.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $87.88 national lab fee schedule rate (2026) · View Medicare rates for 84233 |
| Medicaid Fee Schedule | $81.79 median of the 8 states in the free preview · View Medicaid rates for 84233 |
National average reimbursement for CPT 84233 by major payers:
$68.95
BCBS / Anthem
$53.31
UnitedHealthcare
$81.65
Aetna
$122.77
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84233.
CPT 84233
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$193.34Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$89.99Published rateChristopher Raio
Mercy Medical Center
$86.22Published rateChristopher Raio
St Joseph Hospital
$52.73Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$21.80Published 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 84233 vs. Other Chemistry Procedures Codes
The table lists codes related to 84233. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84233-CPT | Low | Breast Cancer Therapy Test, The Test Checks How A Sample Of Tissue (Biopsy) Responds To Chemotherapy Or Hormone Therapy That Has Been Proposed To Treat Breast Cancer. |
| 84234-CPT | Low | Cancer Treatment Assessment, Testing The Receptive Ability Of The Hormone Progesterone Is Used To Assess The Likelihood Of Cancer Treatment Effectiveness. Treatment For Several Types Of Cancer May Be Evaluated With This Test. |
| 84235-CPT | Low | Hormone Receptor Test, This Test Evaluates How Well A Particular Hormone Sends And Receives Information So That Processes Within The Body Perform Optimally. |
| 84238-CPT | Low | Receptor Assay;Non-Endocrine-Eg,Acetylch |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84233. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84233 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 84233) and we'll show you how you compare in 15 minutes or less.