CPT 84460: Alanine Aminotransferase (ALT) Quantitative
Commercial payers pay $10 on average nationally for this procedure.
CPT code 84460 reports a laboratory quantitative alanine aminotransferase (ALT/SGPT) test performed on serum or plasma using automated chemistry analyzers to assess liver injury or dysfunction; service type: clinical laboratory chemistry test; typical site of service: clinical laboratory or hospital laboratory (outpatient or inpatient collection with laboratory processing).
For related coverage guidance, see recent payer policy updates: Salivary Hormone Testing, Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing, Bone Turnover Markers Testing.
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National Reimbursement Benchmarks
For CPT 84460, national commercial pricing centers on BUCA’s average commercial rate of $9.9, with individual payers showing distinct centering and spread. Blue Cross Blue Shield posts the highest mean at $12.9 and a wide upper tail, while Aetna and Cigna cluster lower with means of $7.3 and $6.1 respectively. UnitedHealth Group’s mean of $4.7 sits below BUCA, indicating that BUCA’s commercial average is above several major national payers but below Blue Cross Blue Shield’s mean.
Comparing dispersion (P75 minus P25) highlights variation in market consistency: Blue Cross Blue Shield’s spread is $7.6, UnitedHealth Group’s is $3.0, Cigna’s is $3.2, Aetna’s is $3.4, and BUCA’s interquartile spread is $5.8. Blue Cross Blue Shield therefore exhibits the widest IQR-driven dispersion, while UnitedHealth Group is the tightest, suggesting the greatest and least variability in mid-market commercial rates respectively.