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See a sample rate comparisonCPT 86757 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.
Rickettsia Antibody Test, The Test Detects Antibodies To Rickettsia A Bacteria That Can Cause Illnesses Such As Rocky Mountain Spotted Fever Or Typhus. A Positive Result Indicates A Current Or Past Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 86757 |
| Medicaid Fee Schedule | $19.11 median of the 8 states in the free preview · View Medicaid rates for 86757 |
National average reimbursement for CPT 86757 by major payers:
$17.33
$13.79
$21.65
$28.12
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CPT 86757
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChristopher Raio
St Joseph Hospital
$26.52Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$19.57Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$11.61Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$8.13Published rate
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See a sample payer proposalCPT 86757 vs. Other Immunology Procedures Codes
The CPT 86757 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 86757 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 |
|---|---|---|
| 86753-CPT | Low | Protozoa Antibody Test, This Blood Test Measures The Antibody Response To Certain Protozoa (Single-Cell Organisms) That Can Cause Diseases. The Result Can Indicate A Current Or Past Infection. |
| 86756-CPT | Low | Virus (Rsv) Antibody Test, The Test Detects Antibodies For Respiratory Syncytial Virus (Rsv) A Lung Infection That Can Be Severe For Infants And Young Children. A Positive Result Indicates Current Or Previous Infection With Some Immunity. |
| 86757-CPT | Low | Rickettsia Antibody Test, The Test Detects Antibodies To Rickettsia A Bacteria That Can Cause Illnesses Such As Rocky Mountain Spotted Fever Or Typhus. A Positive Result Indicates A Current Or Past Infection. |
| 86759-CPT | Low | Rotavirus Antibody Test, The Test Detects Antibodies To The Rotavirus. Presence Of Antibodies Indicates A Past Or Current Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86757. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86757 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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