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See a sample rate comparisonCPT 86771 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.
Shigella Antibody Test, The Test Detects Antibodies To Shigella Bacteria Which Cause Intestinal Illnesses. The Presence Of Antibodies Indicates Past Or Current Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 20 - Urgent Care Facility |
| Common Modifiers | 91 - Repeat Lab Test PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.48 national lab fee schedule rate (2026) · View Medicare rates for 86771 |
| Medicaid Fee Schedule | $22.525 median of the 8 states in the free preview · View Medicaid rates for 86771 |
National average reimbursement for CPT 86771 by major payers:
$19.11
$17.28
$22.00
$35.03
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CPT 86771
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$53.86Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$29.08Published rateDallas Vamc, Bonham Vamc
$18.43Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$11.33Published rateBellville Hospital District, Bellville General Hospital
Bellville Medical Center
$7.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86771 vs. Other Immunology Procedures Codes
The CPT 86771 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 86771 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 |
|---|---|---|
| 86765-CPT | Low | Measles Immunity Test, The Test Measures Antibodies To The Rubeola Virus (Measles). A Positive Test Indicates Current Or Past Infection Or Immunity From Vaccination. The Test Most Often Evaluates Immune Status. |
| 86768-CPT | Low | Salmonella Antibody Test, The Test Detects Antibodies To Salmonella Bacteria. Presence Of Antibodies Indicates A Past Or Current Infection. |
| 86769-CPT | Low | Antibody; Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) (For Severe Acute Respiratory Syndrome Coronavirus 2 [Sars-Cov-2] [Cor |
| 86771-CPT | Low | Shigella Antibody Test, The Test Detects Antibodies To Shigella Bacteria Which Cause Intestinal Illnesses. The Presence Of Antibodies Indicates 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 86771. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86771 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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