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See a sample rate comparisonCPT 84402 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $25.47 national lab fee schedule rate (2026) · View Medicare rates for 84402 |
| Medicaid Fee Schedule | $25.15 median of the 8 states in the free preview · View Medicaid rates for 84402 |
National average reimbursement for CPT 84402 by major payers:

$21.49
BCBS / Anthem

$18.72
UnitedHealthcare

$30.25
Aetna

$37.41
Cigna
Choose a payer to see a sample of rates for CPT 84402.
Raphael Alcuri
Slocum Dickson Medical Group PLLC
Steven Lagrant
Slocum Dickson Medical Group PLLC
Ashley Lamonica
Slocum Dickson Medical Group PLLC
Elaine Tsukayama
Slocum Dickson Medical Group PLLC
John Ellis
Slocum Dickson Medical Group PLLC
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 84402 vs. Other Chemistry Procedures Codes
The table lists codes related to 84402. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84392-CPT | Low | Urine Sulfate Test, The Test Helps In Diagnosis Of Sulfatide Lipidosis An Inherited Condition In Which A Type Of Fat Builds Up On The Brain And Other Organs. |
| 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. |
| 84403-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. |
| 84410-CPT | Low | Testosterone; Bioavailable Direct Measurement (Eg Differential Precipitation). (Reinstated 01/01/2017). Thallium Blood Or Urine (Del 03/31/2003) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84402 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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