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.

How can I find out the cost of a medical procedure?

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.

What is the difference between an allowed amount and a billed amount?

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.

Why does the cost of the same medical procedure vary so much?

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.

Where can I find information about my insurance coverage and out-of-pocket costs?

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.

CPT 84703 Fee Schedule

Last Verified: July 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	Chemistry Procedures Pathology and Laboratory Procedures
Common Place of Service	23 - Emergency Room 81 - Independent Laboratory
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 84703

National average reimbursement for CPT 84703 by major payers:

$6.59

$5.37

$9.48

$11.37

Preview provider-level rates for...

For billing codeCPT 84703

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	84703	$3.16	1679567887 - THANG LE	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Internal Medicine Physician (207R00000X)
United	84703	$3.16	1770577884 - THOMAS JOHN	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Internal Medicine Physician (207R00000X)
United	84703	$3.16	1841577509 - ANNA COLLINS	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	84703	$3.16	1497745228 - TIMOTHY LAFONT	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Internal Medicine Physician (207R00000X)
United	84703	$6.25	1194492538 - RENEE CARNEY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	84703	$6.25	1093976847 - CATHERINE DOCOUS	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Physician Assistant (363A00000X)
United	84703	$6.25	1245868835 - AUSTIN PERRY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Medical Physician Assistant (363AM0700X)
United	84703	$3.16	1891784807 - RAMESH CHERUKURI	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Anesthesiology Physician (207L00000X)
United	84703	$6.25	1437291689 - MOHSIN SYED	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Internal Medicine Physician (207R00000X)
United	84703	$6.57	1306843826 - WEST CARROLL HEALTH SYSTEMS LLC, WEST CARROLL MEMORIAL HOSPITAL	562300247 - WEST CARROLL HEALTH SYSTEMS L.L.C.	LA	General Acute Care Hospital (282N00000X)
United	84703	$3.16	1912955915 - JOHN PICANO	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Diagnostic Radiology Physician (2085R0202X)
United	84703	$7.51	1144203662 - TOPS SPECIALTY HOSPITAL, LTD., TOPS SURGICAL SPECIALTY HOSPITAL	760246499 - (TX) TOPS SPECIALTY HOSPITAL LTD	TX	General Acute Care Hospital (282N00000X)
United	84703	$3.16	1508252784 - MOHAMMAD-ALI YAZDANI ABYANEH	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Dermatology Physician (207N00000X)
United	84703	$6.25	1770513665 - MAUREEN QUATTRONE	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Medical Physician Assistant (363AM0700X)
United	84703	$7.51	1730697350 - JACKSONVILLE HOSPITAL LLC, UTHEALTH EAST TEXAS JACKSONVILLE HOSPITAL	824037220	TX	General Acute Care Hospital (282N00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Run a free sample report

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

Explore state-level rates for free

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 84703 vs. Other Pathology and Laboratory Procedures Codes

The CPT 84703 code is part of the Chemistry Procedures services used for Pathology and Laboratory 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.
84830-CPT	Low	Ovulation Hormone Testing, This Fertility Test Looks For Leuteinizing Hormone Which Is Responsible For Releasing An Ova (Egg) From One Of The Ovaries Each Month.

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.

Schedule a Demo