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CPT 86768 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.

Salmonella Antibody Test, The Test Detects Antibodies To Salmonella Bacteria. Presence Of Antibodies Indicates A Past Or Current Infection.
Key FactDetail
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 LevelLow
Medicare Fee Schedule$13.19 national lab fee schedule rate (2026) · View Medicare rates for 86768
Medicaid Fee Schedule$12.135 median of the 8 states in the free preview · View Medicaid rates for 86768

National average reimbursement for CPT 86768 by major payers:

bcbs

$11.89

uhc

$13.48

aetna

$13.67

cigna

$19.22

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 86768.

CPT 86768
5 of 25 sample ratesHigher to lower in this preview
  1. Da Pediatric Rehabilitation

    FLHome Health AgencyNPI 1801164967Tax ID 27-0939565

    $35.00Published rate
  2. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $13.19Published rate
  3. Prisma Health-Upstate, Prisma Health Transplant Center

    Prisma Health - Upstate

    SCGeneral Acute Care HospitalNPI 1720747496Tax ID 81-1723202

    $11.86Published rate
  4. Palo Pinto County Hospital District, Palo Pinto General Hospital

    TXGeneral Acute Care HospitalNPI 1972590602Tax ID 75-1256948

    $11.06Published rate
  5. Progressive Emergency Physicians PLLC

    NYMulti-Specialty GroupNPI 1588098172Tax ID 46-3316332

    $5.01Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 86768 vs. Other Immunology Procedures Codes

The CPT 86768 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 86768 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.

CodeComplexityDescription
86757-CPTLowRickettsia 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-CPTLowRotavirus Antibody Test, The Test Detects Antibodies To The Rotavirus. Presence Of Antibodies Indicates A Past Or Current Infection.
86762-CPTLowGerman Measles Test, The Test Detects Antibodies To The Rubella Virus That Causes German Measles. A Positive Test Indicates Either A Current Infection Or Immunity From A Vaccine. The Test Is Used To Evaluate Immune Status.
86768-CPTLowSalmonella Antibody Test, The Test Detects Antibodies To Salmonella Bacteria. 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 86768. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 86768 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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