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See a sample rate comparisonCPT 87071 Fee Schedule
Medicare rates as of January 2026
CPT 87071 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 | $9.89 national lab fee schedule rate (2026) · View Medicare rates for 87071 |
| Medicaid Fee Schedule | $9.095 median of the 8 states in the free preview · View Medicaid rates for 87071 |
National average reimbursement for CPT 87071 by major payers:
$9.82
BCBS / Anthem
$6.90
UnitedHealthcare
$11.06
Aetna
$14.08
Cigna
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CPT 87071
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$40.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$12.94Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$9.55Published rateChristopher Raio
St Francis Hospital
$5.93Published rateBrittany Ptachick
Hroa 401k Plan
$4.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87071 vs. Other Microbiology Procedures Codes
The table lists codes related to 87071. 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. |
| 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. |
| 87071-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 87071. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87071 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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