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See a sample rate comparisonCPT 84307 Fee Schedule
Last Verified: October 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.
Somatostatin Plasma Test, This Test Measures Somatostatin A Hormone Found In The Brain And Secreted By Digestive Organs. Its Purpose Is To Slow Stop Or Limit The Action Of Growth Hormone The Digestive Process And Production Of Insulin And Glucose.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| 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 | $18.28 national lab fee schedule rate (2026) · View Medicare rates for 84307 |
| Medicaid Fee Schedule | $18.05 median of the 8 states in the free preview · View Medicaid rates for 84307 |
National average reimbursement for CPT 84307 by major payers:
$16.09
$16.13
$21.17
$26.74
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CPT 84307
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$40.22Published rateChristopher Raio
St Francis Hospital
$25.04Published rateMethodist Mckinney Hospital LLC
$18.28Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$15.64Published rateLambert Laperouse
St Tammany Emergency Physicians Group LLC
$9.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84307 vs. Other Chemistry Procedures Codes
The CPT 84307 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 84307 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 |
|---|---|---|
| 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. |
| 84206-CPT | Low | Digestive Enzyme Test, The Test Measures Proinsulin Made By The Pancreas To Help Digest Sugars. It Is Involved In The Conversion Of Glucose. |
| 84307-CPT | Low | Somatostatin Plasma Test, This Test Measures Somatostatin A Hormone Found In The Brain And Secreted By Digestive Organs. Its Purpose Is To Slow Stop Or Limit The Action Of Growth Hormone The Digestive Process And Production Of Insulin And Glucose. |
| 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 84307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84307 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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