CPT 87070 Fee Schedule

Medicare rates as of January 2026

CPT 87070 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.

Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present.

Key Fact	Detail
Service Type	Pathology and Laboratory Procedures Microbiology Procedures
Common Place of Service	81 - Independent Laboratory 11 - Office
Common Modifiers	26 - Professional component 59 - Distinct Procedural Service
Complexity Level	Low
Medicare Fee Schedule	$8.62 national lab fee schedule rate (2026) · View Medicare rates for 87070
Medicaid Fee Schedule	$7.93 median of the 8 states in the free preview · View Medicaid rates for 87070

National average reimbursement for CPT 87070 by major payers:

$8.29

BCBS / Anthem

$6.20

UnitedHealthcare

$10.90

Aetna

$12.64

Cigna

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CPT 87070

5 of 25 sample ratesHigher to lower in this preview

Chu Chen
MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572
$18.10Published rate
Rohini Kotha
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLAnesthesiology PhysicianNPI 1104104231Tax ID 59-3238640
$5.17Published rate
Abu-Sayeef Mirza
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
CTStudent in an Organized Health Care Education/Training ProgramNPI 1811341977Tax ID 59-3238640
$5.17Published rate
Danielle Laskowitz
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLPhysician AssistantNPI 1437696408Tax ID 59-3238640
$4.40Published rate
Corinne Steffen
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNephrology PhysicianNPI 1124536578Tax ID 59-3238640
$4.40Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 87070 vs. Other Microbiology Procedures Codes

The table lists codes related to 87070. Select one to see its fee schedule.

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.
87070-CPT	Low	Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 87070 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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