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See a sample rate comparisonCPT 84260 Fee Schedule
Medicare rates as of January 2026
CPT 84260 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
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.
| 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 PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $30.98 national lab fee schedule rate (2026) · View Medicare rates for 84260 |
| Medicaid Fee Schedule | $28.505 median of the 8 states in the free preview · View Medicaid rates for 84260 |
National average reimbursement for CPT 84260 by major payers:
$25.28
BCBS / Anthem
$20.76
UnitedHealthcare
$33.10
Aetna
$45.14
Cigna
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CPT 84260
5 of 25 sample ratesHigher to lower in this preview
Harris County Hospital District, Harris Health
$105.00Published rateFairway Medical Center, LLC, Avala
Fairway Medical Center, LLC Dba Avala
$38.31Published rateOpelousas General Hospital Authority
$30.97Published rateSabine Medical Center Inc, Sabine Medical Center
$18.59Published rateOmega Hospital LLC
Omega Hospital, LLC
$13.01Published rate
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See a sample payer proposalCPT 84260 vs. Other Chemistry Procedures Codes
The table lists codes related to 84260. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84182-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. |
| 84210-CPT | Low | Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy. |
| 84220-CPT | Low | Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84260 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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