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See a sample rate comparisonCPT 86668 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.
Bacteria Immunity Test, This Test Verifies Exposure To Francisella Tularensis (Rabbit Fever). If Antibodies Are Present Immunity To The Illness Is Likely.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 91 - Repeat Lab Test 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.16 national lab fee schedule rate (2026) · View Medicare rates for 86668 |
| Medicaid Fee Schedule | $13.03 median of the 8 states in the free preview · View Medicaid rates for 86668 |
National average reimbursement for CPT 86668 by major payers:
$11.74
$12.86
$14.18
$19.98
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CPT 86668
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateChristopher Raio
Mercy Medical Center
$14.26Published ratePrisma Health-Upstate, Prisma Health Int Med/Subspec Clinic
Prisma Health - Upstate
$12.73Published rateChristopher Raio
Mercy Medical Center
$8.50Published rateBrittany Ptachick
Hroa 401k Plan
$5.95Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86668 vs. Other Immunology Procedures Codes
The CPT 86668 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 86668 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 |
|---|---|---|
| 86628-CPT | Low | Yeast Infection Test, Candida Is A Yeast (Fungus) That Can Cause Infection. This Test Detects Antibodies Made In Response To A Widespread Infection. Results Assess The Severity Of The Infection And Response To Therapy. |
| 86638-CPT | Low | Q Fever Antibody Test, Q Fever Is Caused By Coxiella Burnetii Bacteria. The Test Checks For Antibodies Which Can Indicate A Past Or Current Infection. |
| 86666-CPT | Low | Test For Tick Fever, This Blood Test Checks For Antibodies Responding To A Current Or Past Infection Of Ehrlichia Chaffeensis Which Is A Bacteria Carried By Ticks That Causes An Illness Similar To Rocky Mountain Spotted Fever. |
| 86668-CPT | Low | Bacteria Immunity Test, This Test Verifies Exposure To Francisella Tularensis (Rabbit Fever). If Antibodies Are Present Immunity To The Illness Is Likely. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86668. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86668 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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