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See a sample rate comparisonCPT 87073 Fee Schedule
Medicare rates as of January 2026
CPT 87073 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 | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.66 national lab fee schedule rate (2026) · View Medicare rates for 87073 |
| Medicaid Fee Schedule | $8.89 median of the 8 states in the free preview · View Medicaid rates for 87073 |
National average reimbursement for CPT 87073 by major payers:
$9.76
BCBS / Anthem
$6.85
UnitedHealthcare
$10.59
Aetna
$13.97
Cigna
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CPT 87073
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$35.00Published rateChristopher Raio
St Joseph Hospital
$11.48Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$9.55Published rateOconee Medical Center
Prisma Health - Upstate
$8.68Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$4.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87073 vs. Other Microbiology Procedures Codes
The table lists codes related to 87073. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87073-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. |
| 87075-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. |
| 87076-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. |
| 87077-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 87073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87073 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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