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See a sample rate comparisonCPT 87088 Fee Schedule
Medicare rates as of January 2026
CPT 87088 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 | $8.09 national lab fee schedule rate (2026) · View Medicare rates for 87088 |
| Medicaid Fee Schedule | $7.99 median of the 8 states in the free preview · View Medicaid rates for 87088 |
National average reimbursement for CPT 87088 by major payers:
$7.74
BCBS / Anthem
$5.75
UnitedHealthcare
$9.48
Aetna
$11.90
Cigna
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CPT 87088
5 of 25 sample ratesHigher to lower in this preview
Chi St. Luke'S Health Baylor College Of Medicine Medical Center
Chi St Lukes Health Baylor College Of Medicine Medical Center
$14.98Published rateSt. Davids Healthcare Partnership, L.P., LLP, Heart Hospital Of Austin
$8.09Published rateColumbia Plaza Medical Center Of Fort Worth Subsidiary Lp, Medical City Fort Worth
Columbia Plaza Medical Center Of Fort Worth Subsidiary Lp
$8.09Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$4.19Published rateForest Park Mecial Center At Fort Worth, LLC
Forest Park Mecial Center At Fort Worth LLC
$1.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87088 vs. Other Microbiology Procedures Codes
The table lists codes related to 87088. 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. |
| 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 87088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87088 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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