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See a sample rate comparisonCPT 86777 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.
Toxoplasma Antibody Test, Toxoplasmosis Is An Illness Carried By A Parasite That Can Cause Complications With A Pregnancy. Immune-Compromised People Also Are At Risk. Testing Checks Spinal Fluid Blood Or Amniotic Fluid. The Result Shows A Current Or Past Infection Or Immunity.
| 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 | $14.39 national lab fee schedule rate (2026) · View Medicare rates for 86777 |
| Medicaid Fee Schedule | $13.24 median of the 8 states in the free preview · View Medicaid rates for 86777 |
National average reimbursement for CPT 86777 by major payers:
$12.92
$14.42
$16.67
$20.96
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CPT 86777
5 of 25 sample ratesHigher to lower in this preview
Chi St. Luke'S Health Baylor College Of Medicine Medical Center
Chi St Lukes Health Baylor College Of Medicine Medical Center
$26.65Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$14.56Published ratePrisma Health-Upstate
Prisma Health - Upstate
$12.94Published rateChristopher Raio
Mercy Medical Center
$8.63Published rateChana Van Houten
Nadir Mir Ali Md PLLC
$7.46Published rate
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See a sample payer proposalCPT 86777 vs. Other Immunology Procedures Codes
The CPT 86777 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 86777 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 |
|---|---|---|
| 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. |
| 86774-CPT | Low | Tetanus Immunity Test, This Test Is Used Primarily To Determine Immune Status To Tetanus. It Is Rarely Used To Diagnose An Infection. |
| 86777-CPT | Low | Toxoplasma Antibody Test, Toxoplasmosis Is An Illness Carried By A Parasite That Can Cause Complications With A Pregnancy. Immune-Compromised People Also Are At Risk. Testing Checks Spinal Fluid Blood Or Amniotic Fluid. The Result Shows A Current Or Past Infection Or Immunity. |
| 86778-CPT | Low | Toxoplasma Antibody Test, Toxoplasmosis Is An Illness Carried By A Parasite That Can Cause Complications With A Pregnancy. Immune-Compromised People Also Are At Risk. Testing Checks Spinal Fluid Blood Or Amniotic Fluid. The Result Shows A Current Or Past Infection Or Immunity. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86777. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86777 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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