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 84295 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84295 |
| Medicaid Fee Schedule | View Medicaid rates for 84295 |
National average reimbursement for CPT 84295 by major payers:
$3.70
$3.42
$5.77
$7.30
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84295.
CPT 84295
5 of 25 sample ratesHigher to lower in this preview
Aaron Askew
Praxis Health, P.C.
$80.00Published rateLancaster Regional Hospital, Lp, Crescent Medical Center Lancaster
Lancaster Regional Hospital, Lp
$4.82Published rateChca Mainland, L.P., Mainland Medical Center
$4.80Published rateFairfield Hospital District, Freestone Medical Center
$4.09Published rateBrandon Okeefe Rafaeli
U T Physicians
$2.01Published 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 84295 vs. Other Chemistry Procedures Codes
The CPT 84295 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 84295 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 |
|---|---|---|
| 84295-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. |
| 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. |
| 84311-CPT | Low | Lab Analysis With Light Waves, Spectrophotometry Is A Testing Method That Examines Visible Ultraviolet And Infrared Light Waves Shone Onto A Body Fluid Sample. The Method Measures The Amount Of Light Absorbed By The Sample. Results Indicate Density Of A Material In The Fluid. |
| 84375-CPT | Low | Test For Metabolic Condition, This Test Is Used To Identify Inherited Metabolic Conditions Involving The Production Or Processing Of Sugars Such As Fructose Galactose And Lactose. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84295 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 84295) and we'll show you how you compare in 15 minutes or less.