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Clinical Laboratory Test

0577U Medicare Reimbursement Rate (2026)

Current CMS pricing and breakdown for Onc ovr serum alys 39 gps.

HCPCS Code 0577UNational Fixed Rate

National Average Payment

Non-Facility (Private Office) Rate

$246.92
Effective Q2 2026

0577U Reimbursement Rate History

QuarterQ2 2025Q3 2025Q4 2025Q1 2026Q2 2026Q3 2026
National Average Payment$246.92$246.92

ℹ️ Good to Know

This item has a standard price nationwide. Your local rate will likely match the amount shown above.

Code Description

Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid

Reimbursement Summary

CPT code 0577U (Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid) had a 2026 Medicare non-facility reimbursement rate of $246.92.

The 2026 National Medicare reimbursement for 0577U is $246.92. This item is paid at a standard national rate, so local variation is typically minimal.

Description: Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid. Payment policies and coverage rules can still vary by setting and claim details, so confirm final guidance through CMS when needed.

Note: amounts shown are estimates based on CMS national averages for Q2 2026.

0577U Reimbursement Rate History

QuarterQ2 2025Q3 2025Q4 2025Q1 2026Q2 2026Q3 2026
National Average Payment$246.92$246.92

Historical Medicare Reimbursement

2025 Q12025 Q22025 Q32025 Q42026 Q12026 Q22026 Q3
QuarterNon-Facility RateFacility RateYoY % Change (Non-Fac)YoY % Change (Fac)
2026 Q3
2026 Q2$246.92$246.92
2026 Q1$246.92$246.92
2025 Q4
2025 Q3
2025 Q2
2025 Q1

Q2 2026 Breakdown

ComponentOffice (Non-Fac)Facility (Hosp)
Work RVU
Practice Expense (PE)
Malpractice (MP)
Total RVUs0.000.00

Are you being paid correctly for this code?

Compare a payment against the Medicare benchmark for this code.

Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.

Commercial Payer Rates for 0577U

Pro Feature

National average reimbursement from major commercial payers based on CMS Transparency in Coverage machine-readable files.

BCBS
$91.46
-4.0% vs Medicare
UnitedHealthcare
$86.29
-9.5% vs Medicare
Aetna
$82.03
-14.0% vs Medicare
Cigna
$121.11
+27.0% vs Medicare
ModifierPlace of ServiceAvg. Ratevs MedicarePercentile Range
NULLOffice (11)$91.46-4.0%$80 — $104
NULLTelehealth (02)$88.20-7.4%$76 — $102
NULLFacility (21)$79.31-15.6%$68 — $95
NULLOutpatient Hospital (22)$84.92-10.2%$71 — $99
NULLHome (12)$96.14+1.0%$84 — $113

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Source: CMS Transparency in Coverage machine-readable files (MRFs). Commercial rates reflect payer-published negotiated amounts and may not reflect individual contracted rates.

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Facility vs. Non-Facility (Office) Payment

Facility vs. non-facility pricing most commonly applies to physician services paid under the RVU-based Physician Fee Schedule. For 0577U (Clinical Laboratory Test), the payment methodology may not include both facility and non-facility rates.

Learn How This Reimbursement Is Calculated

Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.

Frequently Asked Questions

What is the 2026 Medicare rate for 0577U?

The 2026 National Average Medicare reimbursement rate for 0577U (Clinical Laboratory Test) is $246.92. This rate is effective as of January 1, 2026.

What is the description for code 0577U?

Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid

Why do facility and non-facility payments differ for 0577U?

Facility vs. non-facility differences usually apply to RVU-based physician services. 0577U may not use both facility and non-facility pricing depending on its payment methodology.

How can I find my local Medicare rate for 0577U?

Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.

Is 0577U covered by Medicare?

Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.

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