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 86037 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.
Screening For Anca, Screening For Antineutrophil Cytoplasmic Antibodies To Help Detect And Diagnose Certain Forms Of Autoimmune Vasculitis.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.05 national lab fee schedule rate (2026) · View Medicare rates for 86037 |
| Medicaid Fee Schedule | $11.90 median of the 8 states in the free preview · View Medicaid rates for 86037 |
National average reimbursement for CPT 86037 by major payers:
$10.26
$7.25
$12.29
$43.70
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 86037.
CPT 86037
5 of 25 sample ratesHigher to lower in this preview
Paul Dell
Florida Clinical Practice Association Inc
$34.79Published rateDavid Sharaf
Skin And Cancer Associates, LLP
$7.23Published rateRichard Landrigan
$5.05Published rateDaniel Vincent
Ear Nose Throat Of Sf
$4.21Published rateSuzanne Gavrilovic
$4.09Published 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 86037 vs. Other Immunology Procedures Codes
The CPT 86037 code is part of the Pathology and Laboratory Procedures services used for Immunology 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 86037 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 |
|---|---|---|
| 86021-CPT | Low | Autoimmune Blood Test, Autoantibody Tests Detect Antibodies To White Blood Cells (Leukocytes) Or Platelets. Leukocyte Antibodies Cause Reactions To Blood Transfusion And Pregnancy Complications. Platelet Antibodies Cause Bleeding Or Bruising And Low Platelet Counts. |
| 86022-CPT | Low | Autoimmune Blood Test, Autoantibody Tests Detect Antibodies To White Blood Cells (Leukocytes) Or Platelets. Leukocyte Antibodies Cause Reactions To Blood Transfusion And Pregnancy Complications. Platelet Antibodies Cause Bleeding Or Bruising And Low Platelet Counts. |
| 86023-CPT | Low | Autoimmune Blood Test, Autoantibody Tests Detect Antibodies To White Blood Cells (Leukocytes) Or Platelets. Leukocyte Antibodies Cause Reactions To Blood Transfusion And Pregnancy Complications. Platelet Antibodies Cause Bleeding Or Bruising And Low Platelet Counts. |
| 86037-CPT | Low | Screening For Anca, Screening For Antineutrophil Cytoplasmic Antibodies To Help Detect And Diagnose Certain Forms Of Autoimmune Vasculitis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86037 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 86037) and we'll show you how you compare in 15 minutes or less.