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See a sample rate comparisonCPT 84445 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.
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).
| 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 QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $50.86 national lab fee schedule rate (2026) · View Medicare rates for 84445 |
| Medicaid Fee Schedule | $50.225 median of the 8 states in the free preview · View Medicaid rates for 84445 |
National average reimbursement for CPT 84445 by major payers:
$42.57
$33.08
$55.19
$74.56
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CPT 84445
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$94.16Published rateMorehouse General Hospital
$50.86Published rateMethodist Hospitals Of Dallas, Methodist Richardson Medical Center
Methodist Hospitals Of Dallas
$50.86Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$42.63Published rateAmari Thomas
$15.00Published rate
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See a sample payer proposalCPT 84445 vs. Other Chemistry Procedures Codes
The CPT 84445 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 84445 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 |
|---|---|---|
| 84410-CPT | Low | Testosterone; Bioavailable Direct Measurement (Eg Differential Precipitation). (Reinstated 01/01/2017). Thallium Blood Or Urine (Del 03/31/2003) |
| 84433-CPT | Low | Genetic Test For Drug Therapy, A Lab Test That Evaluates How Well A Drug Is Metabolized By The Body. This Helps To Identify The Most Effective Drug Therapy And The Likelihood Of Developing Severe Side Effects. |
| 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 84445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84445 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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