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See a sample rate comparisonCPT 87086 Fee Schedule
Medicare rates as of January 2026
CPT 87086 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
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.
| 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 | $8.07 national lab fee schedule rate (2026) · View Medicare rates for 87086 |
| Medicaid Fee Schedule | $7.97 median of the 8 states in the free preview · View Medicaid rates for 87086 |
National average reimbursement for CPT 87086 by major payers:
$7.76
BCBS / Anthem
$5.83
UnitedHealthcare
$10.21
Aetna
$11.86
Cigna
Compare published rates across providers.
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CPT 87086
5 of 25 sample ratesHigher to lower in this preview
Nini Khin
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$4.84Published rateIan Musgrave
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$4.84Published rateDerrick Legoas
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$4.11Published rateNatasha Johnson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$4.11Published rateAldo Rosales
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$4.11Published rate
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See a sample payer proposalCPT 87086 vs. Other Microbiology Procedures Codes
The table lists codes related to 87086. 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. |
| 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. |
| 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 87086. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87086 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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