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See a sample rate comparisonCPT 87084 Fee Schedule
Medicare rates as of January 2026
CPT 87084 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Bacterial Infection Test, Several Tests Can Screen For Various Types Of Bacterial Infections. A Sample Of Blood Or Other Body Fluid Is Taken To See If Bacteria Are Able To Grow In It.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $27.07 national lab fee schedule rate (2026) · View Medicare rates for 87084 |
| Medicaid Fee Schedule | $23.405 median of the 8 states in the free preview · View Medicaid rates for 87084 |
National average reimbursement for CPT 87084 by major payers:
$21.98
BCBS / Anthem
$12.26
UnitedHealthcare
$22.13
Aetna
$37.57
Cigna
Compare published rates across providers.
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CPT 87084
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$59.55Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$27.07Published rateChristopher Raio
Mercy Medical Center
$16.41Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$11.81Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$4.80Published rate
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See a sample payer proposalCPT 87084 vs. Other Microbiology Procedures Codes
The table lists codes related to 87084. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87081-CPT | Low | Bacterial Infection Test, Several Tests Can Screen For Various Types Of Bacterial Infections. A Sample Of Blood Or Other Body Fluid Is Taken To See If Bacteria Are Able To Grow In It. |
| 87084-CPT | Low | Bacterial Infection Test, Several Tests Can Screen For Various Types Of Bacterial Infections. A Sample Of Blood Or Other Body Fluid Is Taken To See If Bacteria Are Able To Grow In It. |
| 87086-CPT | Low | Urine Test For Bacteria, This Test Diagnoses And Helps Guide Treatment Of A Urinary Tract (Bladder) Infection. A Urine Sample Is Placed Into A Substance That Causes Bacteria In It To Multiply. If Bacteria Are Present The Test Identifies Them. |
| 87088-CPT | Low | Urine Test For Bacteria, This Test Diagnoses And Helps Guide Treatment Of A Urinary Tract (Bladder) Infection. A Urine Sample Is Placed Into A Substance That Causes Bacteria In It To Multiply. If Bacteria Are Present The Test Identifies Them. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87084. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87084 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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