Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 85060 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.
Blood Smear Periphral Interpret By Physi W/ Written Repo, Blood Smear Peripheral Interpretation By Physician With Written Repo
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | GY - Notice of Liability Not Issued, Not Required Under Payer Policy. 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $19.04 national non-facility rate (2026) · View Medicare rates for 85060 |
| Medicaid Fee Schedule | $17.28 median of the 8 states in the free preview · View Medicaid rates for 85060 |
National average reimbursement for CPT 85060 by major payers:
$27.13
$15.29
$30.31
$25.19
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 85060.
CPT 85060
5 of 25 sample ratesHigher to lower in this preview
Elizabeth Haynes
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$15.17Published rateJason Fleming
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$15.15Published rateMarisa Canale
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$12.89Published rateAndrele Pena
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$12.88Published rateTiffany Valone
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$12.88Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 85060 vs. Other Hematology and Coagulation Procedures Codes
The CPT 85060 code is part of the Pathology and Laboratory Procedures services used for Hematology and Coagulation Procedures. 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 85060 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 |
|---|---|---|
| 85045-CPT | Low | Red Blood Cell Count, Reticulocytes Are Young Red Blood Cells (Rbcs). The Count Can Be Automated Or Manual Using A Microscope. It Is Used To Evaluate Both Anemia And How Well Bone Marrow Is Creating Rbcs. |
| 85046-CPT | Low | Reticyte Hgb Concentrate, Blood Count Reticulocytes Automated Including 1 Or More Cellular Parameters Eg Reticulocyte Hemoglobin Content Chr Immature Reticulocyte Fraction Irf Reticulocyte Volume Mrv Rna Content Direct Measurement |
| 85048-CPT | Low | White Blood Cell Count, Leukocytes Or White Blood Cells (Wbcs) Function As Part Of The Immune System. An Automated (Machine) Count Of The Wbcs Helps To Evaluate Whether An Infection Is Present The Response To A Treatment Or Whether Disease May Be Present. |
| 85060-CPT | Low | Blood Smear Periphral Interpret By Physi W/ Written Repo, Blood Smear Peripheral Interpretation By Physician With Written Repo |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85060 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 85060) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
To understand the potential cost of a medical procedure or service, you can use price transparency tools. For a specific estimate based on the CPT code and your location, you can utilize Payerprice's fee schedule lookup tool. This can help you get an idea of the costs involved and prepare financially before receiving care.
Comparing healthcare service prices can help you make informed decisions. Many tools are available, but for a detailed comparison based on CPT codes and your specific location, you can use Payerprice's fee schedule lookup tool. This allows you to search for particular services and see relevant pricing information.
CPT (Current Procedural Terminology) codes are standardized codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for medical billing and insurance claims. When looking up healthcare costs, knowing the CPT code for a specific service can help you get a more accurate price estimate using tools like Payerprice's fee schedule lookup tool.
The cost of medical services can vary significantly based on your geographical location due to factors like local market rates, provider overhead, and regional demand. When searching for cost estimates, it's important to include your specific location for the most accurate results. Tools like Payerprice's fee schedule lookup tool allow you to search with a specific location to get localized pricing information tailored to your area.