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See a sample rate comparisonCPT 84270 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hormone Binding Protein Test, The Test Checks Sex Hormone Binding Globulin (Shbg) Levels Which Shows How Much Testosterone Is Available To The Body. This Helps Diagnose Fertility And Thyroid Gland Problems And Can Help In Monitoring Hormone Therapy.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84270 |
| Medicaid Fee Schedule | View Medicaid rates for 84270 |
National average reimbursement for CPT 84270 by major payers:
$18.31
$15.62
$24.94
$31.34
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CPT 84270
5 of 25 sample ratesHigher to lower in this preview
David Neuenfeldt
Neuroscience Group Of Northeast Wisconsin, S.C.
$53.52Published rateLisa Kokontis
Neuroscience Group Of Northeast Wisconsin, S.C.
$53.52Published rateChca Conroe Lp, Conroe Regional Medical Center
Chca Conroe Lp
$21.72Published ratePrisma Health-Upstate
Prisma Health - Upstate
$19.55Published rateTexas Health Harris Methodist Hospital Fort Worth
$10.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84270 vs. Other Chemistry Procedures Codes
The CPT 84270 code is part of the Pathology and Laboratory Procedures services used for Chemistry Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 84270 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 84270-CPT | Low | Hormone Binding Protein Test, The Test Checks Sex Hormone Binding Globulin (Shbg) Levels Which Shows How Much Testosterone Is Available To The Body. This Helps Diagnose Fertility And Thyroid Gland Problems And Can Help In Monitoring Hormone Therapy. |
| 84275-CPT | Low | Sialic Acid Enzyme Test, This Test Measures The Amount Of Sialic Acid In The Body. Sialic Acid Is Part Of The Digestion Process That Breaks Down Sugar-Protein Complexes. |
| 84300-CPT | Low | Sodium Electrolyte Test, Sodium Is An Electrolyte Helping The Body Stay Hydrated. The Blood Test Determines Fluid Retention Or Dehydration. The Urine Test Detects Too Much Or Too Little Sodium. The Tests Help Monitor High Blood Pressure And Kidney Function. |
| 84402-CPT | Low | Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84270 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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