Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 87045 Fee Schedule
Last Verified: September 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.
Stool Test For Bacteria, This Test Is Done To Look For The Presence Of Bacteria Which May Cause A Diarrheal Illness. A Specimen Of Fecal Material Is Submitted And The Types Of Bacteria Which Grow From That Specimen Are Analyzed.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87045 |
| Medicaid Fee Schedule | View Medicaid rates for 87045 |
National average reimbursement for CPT 87045 by major payers:
$9.21
$6.80
$11.25
$14.29
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87045.
CPT 87045
5 of 25 sample ratesHigher to lower in this preview
Monroe Surgical Hospital, LLC
Monroe Surgical Hospital
$13.77Published rateAaron Askew
Praxis Health, P.C.
$10.38Published rateThibodaux Regional Health System Inc
$9.43Published rateChristus Health Southeast Texas, Christus Southeast Texas - St. Elizabeth
Christus Health Southeast Texas
$5.65Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$3.58Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 87045 vs. Other Microbiology Procedures Codes
The CPT 87045 code is part of the Pathology and Laboratory Procedures services used for Microbiology 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 87045 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 |
|---|---|---|
| 87003-CPT | Low | Control Test For Infection, The Test Is Used To Diagnose An Infection By Injecting A Small Amount Of The Test Sample Into A Small Animal. The Animal Is Observed For Signs Of An Infection For Up To Three Weeks. |
| 87015-CPT | Low | Infection Test Concentration, This Test Method Identifies Bacteria Or Parasites That Are The Cause Of An Infection. The Sample Is Concentrated So That The Infection Organisms Collect Together. |
| 87040-CPT | Low | Blood Test Bacteria Infection, This Test Identifies Early Signs Of A Bacterial Growth And Thus Infection In A Blood Sample. Infections In The Blood (Bacteremia Or Sepsis) Can Cause Serious Illness. |
| 87045-CPT | Low | Stool Test For Bacteria, This Test Is Done To Look For The Presence Of Bacteria Which May Cause A Diarrheal Illness. A Specimen Of Fecal Material Is Submitted And The Types Of Bacteria Which Grow From That Specimen Are Analyzed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87045 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 87045) and we'll show you how you compare in 15 minutes or less.