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See a sample rate comparisonCPT 85027 Fee Schedule
Medicare rates as of January 2026
CPT 85027 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Complete Blood Count (Cbc), A Complete Blood Count Includes Red Blood Cells White Blood Cells Hemoglobin Hematocrit Platelets And Distribution Of The Cells Within The Blood Volume Sampled.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.47 national lab fee schedule rate (2026) · View Medicare rates for 85027 |
| Medicaid Fee Schedule | $6.39 median of the 8 states in the free preview · View Medicaid rates for 85027 |
National average reimbursement for CPT 85027 by major payers:
$6.00
BCBS / Anthem
$4.58
UnitedHealthcare
$8.34
Aetna
$9.75
Cigna
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CPT 85027
5 of 25 sample ratesHigher to lower in this preview
Sofiul Noman
Princeton Healthcare Affiliated Physicians PC
$5.67Published rateSriharshan Reddy
Atlanticare Physician Group PA
$3.88Published rateAhmad Mur
$3.16Published rateLuis Benalcazar
Center For Diagnosis And Treatment LLC
$2.95Published rateZinnat Chowdhury
$2.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 85027 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85027. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85004-CPT | Low | Automated Count Of Blood Cells, Machine Blood Count Measuring The Number Of White Cells (Wbcs) Red Cells (Rbcs) And Platelets. |
| 85007-CPT | Low | Manual Blood Count, Routine Blood Test Where A Sample Is Examined Under A Microscope. The Basic Components Are Counted: White Blood Cells (Wbcs) Red Blood Cells And Platelets. The Five Wbc Types Also May Be Counted: Neutrophils Lymphocytes Monocytes Eosinophils Basophils. |
| 85025-CPT | Low | Complete Blood Count (Cbc), A Complete Blood Count Includes Red Blood Cells White Blood Cells Hemoglobin Hematocrit Platelets And Distribution Of The Cells Within The Blood Volume Sampled. |
| 85027-CPT | Low | Complete Blood Count (Cbc), A Complete Blood Count Includes Red Blood Cells White Blood Cells Hemoglobin Hematocrit Platelets And Distribution Of The Cells Within The Blood Volume Sampled. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85027 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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