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See a sample rate comparisonCPT 87077 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
| 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 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.08 national lab fee schedule rate (2026) · View Medicare rates for 87077 |
| Medicaid Fee Schedule | $7.98 median of the 8 states in the free preview · View Medicaid rates for 87077 |
National average reimbursement for CPT 87077 by major payers:

$7.20
BCBS / Anthem

$5.75
UnitedHealthcare

$9.90
Aetna

$11.97
Cigna
Choose a payer to see a sample of rates for CPT 87077.
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Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 87077 vs. Other Microbiology Procedures Codes
The table lists codes related to 87077. 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 87077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87077 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.
Bring your top codes (like CPT 87077) and we'll show you how you compare in 15 minutes or less.
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services and procedures. These codes are essential for accurate billing and to ensure that healthcare services are consistently identified across different providers and payers.
To find the cost of a medical procedure, you can utilize price transparency tools. For specific pricing based on CPT codes and your location, Payerprice offers a fee schedule lookup tool where you can search with a CPT code to get an estimated cost for your specific location. It's also advisable to contact your insurance provider directly for details on your out-of-pocket expenses, deductibles, and co-pays based on your specific plan.
Price transparency in healthcare refers to the ability for consumers to easily access and understand the prices of medical services and items before receiving care. The goal is to empower patients to make informed decisions about their healthcare by allowing them to compare costs across different providers and facilities.
You can compare prices for medical services through various online tools and resources. For a detailed lookup of fee schedules based on CPT codes and specific locations, Payerprice offers a valuable tool. Additionally, many hospitals and insurance companies provide their own price estimation tools or negotiated rates, which can be useful for comparison. Always verify specific costs with your provider and insurer.
Several factors influence the cost of healthcare services, including the type of service, the provider's location (urban vs. rural), the facility type (hospital vs. outpatient clinic), the complexity of the procedure, the payer (insurance company, Medicare, Medicaid, or self-pay), and whether the provider is in-network or out-of-network. Additionally, negotiation between providers and insurance companies plays a significant role in determining final prices.