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See a sample rate comparisonCPT 86707 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.
Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.57 national lab fee schedule rate (2026) · View Medicare rates for 86707 |
| Medicaid Fee Schedule | $11.425 median of the 8 states in the free preview · View Medicaid rates for 86707 |
National average reimbursement for CPT 86707 by major payers:
$10.41
$8.27
$13.47
$16.80
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CPT 86707
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.45Published rateChristopher Raio
Mercy Medical Center
$13.75Published rateSj Medical Center, LLC, St. Joseph Medical Center
Sj Medical Center, LLC
$11.56Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$9.26Published rateChristopher Raio
St Francis Hospital
$6.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86707 vs. Other Immunology Procedures Codes
The CPT 86707 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 86707 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 |
|---|---|---|
| 86704-CPT | Low | Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination. |
| 86705-CPT | Low | Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination. |
| 86706-CPT | Low | Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination. |
| 86707-CPT | Low | Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86707. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86707 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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