CPT 82040: Quantitative Albumin Measurement
Commercial payers pay $10 on average nationally for this procedure.
CPT code 82040 describes a quantitative albumin measurement performed by a laboratory analyst on a serum, plasma, or whole blood specimen; this is a clinical laboratory service typically provided in an outpatient or hospital laboratory setting for evaluation of protein status and liver or renal function.
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National Reimbursement Benchmarks
The national commercial average represented by BUCA sits at $10.4 for CPT 82040, framing the market midline while individual payer patterns vary. Blue Cross Blue Shield shows a relatively wide spread between its 25th and 75th percentiles ($7.40 to $16.90), a P75–P25 range of $9.50, and Aetna presents an even broader dispersion from $3.00 to $6.90 (range $3.90) but with extreme outliers up to $514.90. Cigna and UnitedHealth Group exhibit tighter interquartile spreads—Cigna’s P25–P75 runs $3.30 to $7.10 (range $3.80) and UnitedHealth Group’s $2.10 to $5.00 (range $2.90)—indicating more consistent negotiated commercial rates.
Comparatively, Blue Cross Blue Shield and Aetna demonstrate the widest variability in the middle 50% of their commercial reimbursements, while UnitedHealth Group and Cigna are the tightest. BUCA’s mean of $10.4 functions as a practical market benchmark against which those payer dispersions can be viewed; payers with narrow interquartile ranges suggest greater pricing consistency, while wider ranges point to greater regional or contractual variability.