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 87075 Fee Schedule
Medicare rates as of January 2026
CPT 87075 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 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.47 national lab fee schedule rate (2026) · View Medicare rates for 87075 |
| Medicaid Fee Schedule | $9.35 median of the 8 states in the free preview · View Medicaid rates for 87075 |
National average reimbursement for CPT 87075 by major payers:
$9.42
BCBS / Anthem
$6.81
UnitedHealthcare
$11.67
Aetna
$14.27
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87075.
CPT 87075
5 of 25 sample ratesHigher to lower in this preview
Kristen Brazzale
Neuroscience Group Of Northeast Wisconsin, S.C.
$23.71Published rateDaniel Long
Neuroscience Group Of Northeast Wisconsin, S.C.
$23.32Published rateMichelle Ziegelbauer
Neuroscience Group Of Northeast Wisconsin, S.C.
$23.32Published rateThomas Mattio
Neuroscience Group Of Northeast Wisconsin, S.C.
$23.32Published rateKathleen Oglesby
Pinellas Medical Associates, PA
$3.98Published 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 87075 vs. Other Microbiology Procedures Codes
The table lists codes related to 87075. 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 87075. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87075 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 87075) and we'll show you how you compare in 15 minutes or less.