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See a sample rate comparisonCPT 81514 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.
Nfct Ds Bv Vaginitis Dna Alg, Infectious Disease Bacterial Vaginosis And Vaginitis Quantitative Real Time Amplification Of Dna Markers For Gardnerella Vaginalis Atopobium Vaginae Megasphaera Type 1 Bacterial Vaginosis Associated Bacteria 2 Bvab 2 And Lactobacillus Species L Crispatus And L Jensenii Utilizing Vaginal Fluid Specimens Algorithm Reported As A Positive Or Negative For High Likelihood Of Bacterial Vaginosis Includes Separate Detection Of Trichomonas Vaginalis And Or Candida Species C Albicans C Tropicalis C Parapsilosis C Dubliniensis Candida Glabrata Candida Krusei When Reported
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Multianalyte Assays with Algorithmic Analyses |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $262.99 national lab fee schedule rate (2026) · View Medicare rates for 81514 |
| Medicaid Fee Schedule | $242.61 median of the 8 states in the free preview · View Medicaid rates for 81514 |
National average reimbursement for CPT 81514 by major payers:
$226.65
$162.09
$243.69
$381.98
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CPT 81514
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$578.58Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$347.15Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$193.94Published rateChristopher Raio
Mercy Medical Center
$142.01Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$92.05Published rate
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See a sample payer proposalCPT 81514 vs. Other Multianalyte Assays with Algorithmic Analyses Codes
The CPT 81514 code is part of the Pathology and Laboratory Procedures services used for Multianalyte Assays with Algorithmic Analyses. 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 81514 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 |
|---|---|---|
| 81509-CPT | High | Ftl Cgen Abnor 3 Proteins, Fetal Congenital Abnormalities Biochemical Assays Of Three Proteins Papp A Hcg Any Form Dia Utilizing Maternal Serum Algorithm Reported As A Risk Score |
| 81510-CPT | Low | Ftl Cgen Abnor Three Anal, Fetal Congenital Abnormalities Biochemical Assays Of Three Analytes Afp Ue3 Hcg Any Form Utilizing Maternal Serum Algorithm Reported As A Risk Score |
| 81511-CPT | Low | Ftl Cgen Abnor Four Anal, Fetal Congenital Abnormalities Biochemical Assays Of Four Analytes Afp Ue3 Hcg Any Form Dia Utilizing Maternal Serum Algorithm Reported As A Risk Score May Include Additional Results From Previous Biochemical Testing |
| 81514-CPT | Moderate | Nfct Ds Bv Vaginitis Dna Alg, Infectious Disease Bacterial Vaginosis And Vaginitis Quantitative Real Time Amplification Of Dna Markers For Gardnerella Vaginalis Atopobium Vaginae Megasphaera Type 1 Bacterial Vaginosis Associated Bacteria 2 Bvab 2 And Lactobacillus Species L Crispatus And L Jensenii Utilizing Vaginal Fluid Specimens Algorithm Reported As A Positive Or Negative For High Likelihood Of Bacterial Vaginosis Includes Separate Detection Of Trichomonas Vaginalis And Or Candida Species C Albicans C Tropicalis C Parapsilosis C Dubliniensis Candida Glabrata Candida Krusei When Reported |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81514 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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