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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $3.28 national lab fee schedule rate (2026) · View Medicare rates for 84315 |
| Medicaid Fee Schedule | $3.24 median of the 8 states in the free preview · View Medicaid rates for 84315 |
National average reimbursement for CPT 84315 by major payers:

$2.67

$2.05

$3.52

$4.81
Choose a payer to see a sample of rates for CPT 84315.
Vhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
Methodist Mckinney Hospital LLC
Hospital Service District 1 Of East Baton Rouge Parish, Lane Regional Medical Center
Hospital Service District No. 1 Of The Parish Of St. Mary, Bayou Bend Health System
Hospital Service District No 1 Of The Parish Of St Mary
Aaron Askew
Desert Bone & Joint Specialists, LLP
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 84315 vs. Other Chemistry Procedures Codes
The CPT 84315 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 84315 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 |
|---|---|---|
| 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. |
| 84302-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. |
| 84315-CPT | Low | Specific Gravity Test, Specific Gravity Is A Property That Can Be Used To Identify A Substance Present Within Another. A Sample Is Placed Into A Measured Amount Of Water And The Apparent Change In Water Volume Is Recorded. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84315 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.
Bring your top codes (like CPT 84315) and we'll show you how you compare in 15 minutes or less.