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CPT 84305 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.

Liver Protein Test, This Liver Protein Test Measures Somatomedin Which Has An Important Relationship With Growth Hormone.
Key FactDetail
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 LevelLow
Medicare Fee ScheduleView Medicare rates for 84305
Medicaid Fee ScheduleView Medicaid rates for 84305

National average reimbursement for CPT 84305 by major payers:

bcbs

$17.96

uhc

$18.86

aetna

$24.75

cigna

$31.18

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 84305.

CPT 84305
5 of 25 sample ratesHigher to lower in this preview
  1. Pmc Hospital, LLC, St. Luke'S Patients Medical Center

    Pmc Hospital, LLC

    TXGeneral Acute Care HospitalNPI 1407990088Tax ID 27-3280598

    $39.38Published rate
  2. Chca Mainland, L.P., Mainland Medical Center

    TXGeneral Acute Care HospitalNPI 1841237807Tax ID 62-1801360

    $21.26Published rate
  3. Jackson Parish Hospital, Jackson Parish Hospital

    LACritical Access HospitalNPI 1093793408Tax ID 72-0549907

    $21.26Published rate
  4. Doctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital

    Doctors Hospital Of Slidell, LLC

    LAGeneral Acute Care HospitalNPI 1043392491Tax ID 52-2363244

    $19.12Published rate
  5. Ascension Seton, Ascension Seton Medical Center Austin

    Ascension Seton

    TXGeneral Acute Care HospitalNPI 1164526786Tax ID 74-1109643

    $8.07Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 84305 vs. Other Chemistry Procedures Codes

The CPT 84305 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 84305 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.

CodeComplexityDescription
84238-CPTLowReceptor Assay;Non-Endocrine-Eg,Acetylch
84270-CPTLowHormone 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-CPTLowSialic 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.
84305-CPTLowLiver Protein Test, This Liver Protein Test Measures Somatomedin Which Has An Important Relationship With Growth Hormone.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 84305 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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