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See a sample rate comparisonCPT 84403 Fee Schedule
Medicare rates as of January 2026
CPT 84403 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions.
| 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 | $25.81 national lab fee schedule rate (2026) · View Medicare rates for 84403 |
| Medicaid Fee Schedule | $25.485 median of the 8 states in the free preview · View Medicaid rates for 84403 |
National average reimbursement for CPT 84403 by major payers:
$21.55
BCBS / Anthem
$18.34
UnitedHealthcare
$31.79
Aetna
$37.16
Cigna
Compare published rates across providers.
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CPT 84403
5 of 25 sample ratesHigher to lower in this preview
Daniel Dahle
The Neuroscience Group Of Northeast Wisconsin Sc
$63.58Published ratePeggy Brokl
The Neuroscience Group Of Northeast Wisconsin Sc
$63.58Published rateKarl Peter Sebastian Feuerlein
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$15.48Published rateSteven Hagewood
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$13.15Published rateDorothy Parish
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$13.15Published rate
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See a sample payer proposalCPT 84403 vs. Other Chemistry Procedures Codes
The table lists codes related to 84403. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84203-CPT | Low | Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity. |
| 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 84403. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84403 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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