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 comparisonCPT 84443 Fee Schedule
Medicare rates as of January 2026
CPT 84443 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Thyroid Hormone Test, This Test Measures Thyroid Stimulating Hormone (Tsh) Which Can Be An Indicator Of An Over- Or Underactive Thyroid Gland. It Can Also Be Used To Monitor The Effectiveness Of Thyroid Gland Treatment.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.80 national lab fee schedule rate (2026) · View Medicare rates for 84443 |
| Medicaid Fee Schedule | $16.065 median of the 8 states in the free preview · View Medicaid rates for 84443 |
National average reimbursement for CPT 84443 by major payers:
$14.66
BCBS / Anthem
$12.03
UnitedHealthcare
$21.08
Aetna
$24.42
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84443.
CPT 84443
5 of 25 sample ratesHigher to lower in this preview
Benjamin Johnson
$56.45Published rateCecilia Hirsch
$12.43Published rateFamily Health Of South Texas, PA, Mission Trails Family Health
Family Health Of South Texas PA
$10.00Published rateLvwell PLLC
$7.05Published rateAmy Stratton
Otero County Hospital Association
$7.05Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 84443 vs. Other Chemistry Procedures Codes
The table lists codes related to 84443. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84234-CPT | Low | Cancer Treatment Assessment, Testing The Receptive Ability Of The Hormone Progesterone Is Used To Assess The Likelihood Of Cancer Treatment Effectiveness. Treatment For Several Types Of Cancer May Be Evaluated With This Test. |
| 84260-CPT | Low | Serotonin Test, This Test Evaluates Either A Blood Or Spinal Fluid Sample For Serotonin. The Test Is Used To Help In Diagnosis Of Severe Depression Or Intestinal Tumors That Affect Serotonin Levels. |
| 84443-CPT | Low | Thyroid Hormone Test, This Test Measures Thyroid Stimulating Hormone (Tsh) Which Can Be An Indicator Of An Over- Or Underactive Thyroid Gland. It Can Also Be Used To Monitor The Effectiveness Of Thyroid Gland Treatment. |
| 84445-CPT | Low | Overactive Thyroid Test, The Test Detects The Amount Of Thyroid Stimulating Antibody. If There Is Enough Present Then The Thyroid Gland Will Be Overactive (Hyperthyroidism). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84443. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84443 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 84443) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
CPT 84443 reports a thyroid stimulating hormone (TSH) test, used to screen for and monitor over- or underactive thyroid function.
A free T4 is a separate test reported with 84439. When ordered together, each test is billed with its own code.
Medicare pays CPT 84443 under the Clinical Laboratory Fee Schedule, a single national rate based on what private payers paid labs, rather than under the Physician Fee Schedule. Commercial lab rates are negotiated separately and vary widely by payer and by whether the test is run by an independent lab, a hospital outpatient lab or a physician office lab.
This page lists the rates commercial payers have published for CPT 84443 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.