Lipid Panel
What it measures
A standard lipid panel reports total cholesterol, HDL ('good') cholesterol, LDL ('bad') cholesterol, and triglycerides. Used to estimate cardiovascular risk and monitor lipid-lowering treatment.
When it’s ordered
Annual cardiovascular risk screening, statin monitoring, family history of heart disease, evaluation of established cardiovascular disease.
Medicare coverage
Governed by NCD 190.23 (Lipid Panel). Acceptable diagnoses include high cholesterol, heart and blood vessel disease, diabetes, and many others. Routine screening with no condition behind it is covered only under a separate heart screening benefit, about once every 5 years. Testing is allowed more often when you are being treated for a condition.
Typical price
Medicare allowable around $13–18. Commercial cash prices range from $30 to $200.
One thing to watch
A "routine exam" reason alone is often not enough. Ask the office to list high cholesterol or the specific heart condition on the order.
Look up the current Medicare allowable for Lipid Panel →
Rates and coverage rules shown apply to Original Medicare (Fee-for-Service) only. Medicare Advantage plans may differ. See our data sources →