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 84703 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.
Test To Measure Hcg, This Test Measures The Presence Or Absence Of Human Chorionic Gonadotropin (Hcg). This Test Is Generally Used To Determine Pregnancy. Other Rare Uses May Include Testing For Certain Cancers That Arise From The Placenta Or Some Testicular Cancers.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 23 - Emergency Room 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $7.52 national lab fee schedule rate (2026) · View Medicare rates for 84703 |
| Medicaid Fee Schedule | $7.425 median of the 8 states in the free preview · View Medicaid rates for 84703 |
National average reimbursement for CPT 84703 by major payers:
$6.59
$5.37
$9.48
$11.37
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 84703.
CPT 84703
5 of 25 sample ratesHigher to lower in this preview
Clhg-Ville Platte LLC, Mercy Regional Medical Center
$9.57Published rateRenee Carney
Slocum Dickson Medical Group PLLC
$6.25Published rateRobert Meier
Slocum Dickson Medical Group PLLC
$6.25Published rateTimothy Lafont
Slocum Dickson Medical Group PLLC
$3.16Published rateMatthew Mittiga
Slocum Dickson Medical Group PLLC
$3.16Published 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 84703 vs. Other Chemistry Procedures Codes
The CPT 84703 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 84703 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 |
|---|---|---|
| 84512-CPT | Low | Test For Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured. |
| 84702-CPT | Low | Test To Measure Hcg, This Test Measures Hcg (Human Chorionic Gonadotropin) In Blood Or Urine A Protein That Is Elevated In Conditions Related To Conception Pregnancy And Some Cancers In Both Women And Men. |
| 84703-CPT | Low | Test To Measure Hcg, This Test Measures The Presence Or Absence Of Human Chorionic Gonadotropin (Hcg). This Test Is Generally Used To Determine Pregnancy. Other Rare Uses May Include Testing For Certain Cancers That Arise From The Placenta Or Some Testicular Cancers. |
| 85025-CPT | Low | Complete Blood Count (Cbc), A Complete Blood Count Includes Red Blood Cells White Blood Cells Hemoglobin Hematocrit Platelets And Distribution Of The Cells Within The Blood Volume Sampled. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84703. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84703 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 84703) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-character alphanumeric codes used by medical professionals to describe medical, surgical, and diagnostic services and procedures. They are crucial for healthcare providers to bill accurately and for insurers to process claims.
To find out the cost of a medical procedure, especially based on your specific location and insurance, it's best to use a specialized tool. You can use Payerprice's fee schedule lookup tool. It allows you to search with a CPT code and your specific location to get an estimate of costs. You can also contact your healthcare provider's billing department directly or your health insurance company for an estimate.
The 'billed amount' is the total amount that a healthcare provider charges for a service or procedure. The 'allowed amount' (also known as the 'negotiated rate' or 'eligible expense') is the maximum amount your insurance company will pay for a covered service. If the billed amount is higher than the allowed amount, the provider may have to write off the difference, or you might be responsible for it if you're out-of-network. Your share of the cost (copay, deductible, coinsurance) is typically based on the allowed amount.
The cost of the same medical procedure can vary significantly due to several factors, including: provider negotiation with insurers, geographic location, facility type (e.g., hospital vs. outpatient clinic), technology and amenities, and your specific insurance plan. To get a precise estimate for your situation, you can use tools like Payerprice's fee schedule lookup tool to compare costs based on CPT codes and your specific location.
For detailed information about your specific insurance coverage, including deductibles, copayments, coinsurance, and out-of-pocket maximums, you should directly contact your health insurance provider. Their member services department can explain your benefits. For specific procedure costs based on your location and CPT code, Payerprice offers a tool that can help you look up fee schedules.