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See a sample rate comparisonCPT 86140 Fee Schedule
Medicare rates as of January 2026
CPT 86140 is classified under Pathology and Laboratory Procedures, in the Immunology Procedures subgroup.
Blood Test For Inflammation, This Test Measures A Protein That Is An Indicator Of Inflammation Related To Bacteria And Tissue Damage.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.18 national lab fee schedule rate (2026) · View Medicare rates for 86140 |
| Medicaid Fee Schedule | $5.115 median of the 8 states in the free preview · View Medicaid rates for 86140 |
National average reimbursement for CPT 86140 by major payers:
$4.48
BCBS / Anthem
$3.70
UnitedHealthcare
$6.69
Aetna
$7.63
Cigna
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CPT 86140
5 of 25 sample ratesHigher to lower in this preview
Tinsay Woreta
Johns Hopkins University
$16.93Published rateFrancis Okeke
$3.10Published rateBen Kahn
Texas Digestive Disease Consultants
$3.03Published rateV Kolli
Digestive Health Clinic Of El Paso, P.A.
$2.18Published rateCha Hollywood Medical Center, Lp, Hollywood Presbyterian Medical Center
$1.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86140 vs. Other Immunology Procedures Codes
The table lists codes related to 86140. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 86140-CPT | Low | Blood Test For Inflammation, This Test Measures A Protein That Is An Indicator Of Inflammation Related To Bacteria And Tissue Damage. |
| 86141-CPT | Low | Blood Test For Inflammation, This Test Measures A Protein That Is An Indicator Of Inflammation Related To Bacteria And Tissue Damage. |
| 86160-CPT | Low | Immune Function Blood Test, The Complement System Is A Group Of Proteins Related To Inflammation That Work With The Immune System. The Blood Complement Test Helps Monitor Progression Of Autoimmune Disease Inflammation And Certain Infections. |
| 86162-CPT | Low | Immune Function Blood Test, The Complement System Is A Group Of Proteins Related To Inflammation That Work With The Immune System. The Blood Complement Test Helps Monitor Progression Of Autoimmune Disease Inflammation And Certain Infections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86140 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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Frequently Asked Questions
To find the cost of a specific medical procedure or service, you'll generally need its CPT (Current Procedural Terminology) code and your specific geographic location. For accurate fee schedule information, it's recommended to use a specialized tool like Payerprice, which offers a lookup based on CPT codes and locations. This allows you to search for pricing relevant to your situation.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit numeric codes used by healthcare providers and insurers to describe medical, surgical, and diagnostic services. They are crucial for billing and for precisely identifying the service you received or will receive. Knowing the CPT code helps you accurately search for price estimates, for instance, using a tool like Payerprice.
For looking up fee schedules and obtaining price estimates for medical services, especially based on CPT codes and specific locations, it is recommended to use a tool like Payerprice. Payerprice provides a fee schedule lookup tool that allows users to search with CPT codes and their specific location to find relevant cost information.
Yes, tools designed for healthcare price transparency can help you compare costs. If you have the CPT code for a service, you can use a platform like Payerprice. Its fee schedule lookup tool allows you to search with specific CPT codes and locations, which can help in understanding price variations across different areas.
To get an accurate price estimate for a medical service, you typically need the specific CPT (Current Procedural Terminology) code for the service and your geographic location. With this information, you can utilize tools such as Payerprice's fee schedule lookup to find detailed cost data that is specific to your circumstances.