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See a sample rate comparisonCPT 86337 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.
Insulin Sensitivity Blood Test, This Blood Test Looks For Antibodies To Insulin Which Can Develop After Some Time Of Taking Insulin. If Antibodies Are Present Higher Doses Of Insulin Are Required.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $21.41 national lab fee schedule rate (2026) · View Medicare rates for 86337 |
| Medicaid Fee Schedule | $21.14 median of the 8 states in the free preview · View Medicaid rates for 86337 |
National average reimbursement for CPT 86337 by major payers:
$19.05
$15.04
$25.15
$31.23
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CPT 86337
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChristopher Raio
St Francis Hospital
$28.26Published rateSt. David'S Healthcare Partnership, L.P., LLP, St. David'S South Austin Medical Center
$21.40Published ratePrisma Health-Upstate, Prisma Health Op Surgery Patewood
Prisma Health - Upstate
$19.27Published rateChana Van Houten
Nadir Mir Ali Md PLLC
$11.10Published rate
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See a sample payer proposalCPT 86337 vs. Other Immunology Procedures Codes
The CPT 86337 code is part of the Pathology and Laboratory Procedures services used for Immunology 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 86337 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 |
|---|---|---|
| 86332-CPT | Low | Immune Pair Testing, An Immune Complex Is An Antibody Attached To Its Corresponding Antigen. This Test Identifies All Pairs Present In A Blood Sample. Immune Complexes Play A Role In Autoimmune Diseases. |
| 86334-CPT | Low | Test Of Immune Activity, This Test Helps Diagnose And Monitor Multiple Diseases. It Measures A Decrease Or Increase Of Immune System Proteins (Globulins). The Sample Can Be Blood Urine Or Spinal Fluid. |
| 86335-CPT | Low | Test Of Immune Activity, This Test Helps Diagnose And Monitor Multiple Diseases. It Measures A Decrease Or Increase Of Immune System Proteins (Globulins). The Sample Can Be Blood Urine Or Spinal Fluid. |
| 86337-CPT | Low | Insulin Sensitivity Blood Test, This Blood Test Looks For Antibodies To Insulin Which Can Develop After Some Time Of Taking Insulin. If Antibodies Are Present Higher Doses Of Insulin Are Required. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86337. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86337 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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