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See a sample rate comparisonCPT 85660 Fee Schedule
Medicare rates as of January 2026
CPT 85660 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Test For Sickle Cells, The Test Detects Red Blood Cells With Too Much Hemoglobin S Which Causes Red Blood Cells To Deform To An Oval Shape And Disrupt Blood Flow To Major Organs. This In Turn Can Result In Sickle Cell Anemia.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.51 national lab fee schedule rate (2026) · View Medicare rates for 85660 |
| Medicaid Fee Schedule | $5.07 median of the 8 states in the free preview · View Medicaid rates for 85660 |
National average reimbursement for CPT 85660 by major payers:
$4.91
BCBS / Anthem
$3.92
UnitedHealthcare
$6.46
Aetna
$8.06
Cigna
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CPT 85660
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$40.00Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$6.61Published rateScott & White Memorial Hospital, Baylor Scott & White Medical Center - Temple
Scott & White Memorial Hospital
$5.51Published rateChildrens National Medical Center
Childrens Hospital
$3.31Published rateChristopher Raio
St Francis Hospital
$2.98Published rate
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See a sample payer proposalCPT 85660 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85660. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85460-CPT | Low | Fetal Cell Blood Count, This Test Checks For An Rh Incompatibility Between The Mother And Fetus And Evaluates The Possibility Of Excess Bleeding During Delivery. A Blood Sample From The Mother Is Checked For The Number Of Fetal Blood Cells. |
| 85461-CPT | Low | Fetal Rosette (Rh) Blood Test, The Test Takes A Blood Sample From An Rh-Negative Mother After Delivery. When Stained Any Rh-Positive Red Cells In The Sample Will Form A Rosette. This Indicates If The Newborn Bled During The Birthing. |
| 85651-CPT | Low | Red Blood Cell Test, This Test Measures The Rate At Which Red Blood Cells Sink To The Bottom Of A Test Tube. This Is A Nonspecific Test For Inflammation And Primarily Helps Detect Blood Cell And Vessel Conditions. |
| 85660-CPT | Low | Test For Sickle Cells, The Test Detects Red Blood Cells With Too Much Hemoglobin S Which Causes Red Blood Cells To Deform To An Oval Shape And Disrupt Blood Flow To Major Organs. This In Turn Can Result In Sickle Cell Anemia. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85660 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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