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 87184 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Test Antibiotic Effectiveness, Lab Test To Determine How Responsive A Bacteria Is To Various Antibiotics. The Result Identifies The Antibiotic Likely To Be Most Effective In Treating The Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87184 |
| Medicaid Fee Schedule | View Medicaid rates for 87184 |
National average reimbursement for CPT 87184 by major payers:
$7.39
$5.19
$8.44
$10.90
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87184.
CPT 87184
5 of 25 sample ratesHigher to lower in this preview
Brim Healthcare Of Texas LLC
$24.00Published rateBaptist Hospitals Of Southeast Texas, Memorial Hermann Baptist Beaumont Hospital
Baptist Hospitals Of Southeast Texas
$7.48Published rateUnion Medical Center, Union Medical Center
$7.48Published rateSavoy Medical Management Group, Inc., Savoy Medical Center Hospital Based Physicians
Savoy Medical Management Group Inc
$6.73Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$2.69Published 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 87184 vs. Other Microbiology Procedures Codes
The CPT 87184 code is part of the Pathology and Laboratory Procedures services used for Microbiology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 87184 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 87181-CPT | Low | Test Antibiotic Effectiveness, Lab Test To Determine How Responsive A Bacteria Is To Various Antibiotics. The Result Identifies The Antibiotic Likely To Be Most Effective In Treating The Infection. |
| 87184-CPT | Low | Test Antibiotic Effectiveness, Lab Test To Determine How Responsive A Bacteria Is To Various Antibiotics. The Result Identifies The Antibiotic Likely To Be Most Effective In Treating The Infection. |
| 87185-CPT | Low | Test Antibiotic Effectiveness, Lab Test To Determine How Responsive A Bacteria Is To Various Antibiotics. The Result Identifies The Antibiotic Likely To Be Most Effective In Treating The Infection. |
| 87186-CPT | Low | Test Antibiotic Effectiveness, Lab Test To Determine How Responsive A Bacteria Is To Various Antibiotics. The Result Identifies The Antibiotic Likely To Be Most Effective In Treating The Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87184 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 87184) and we'll show you how you compare in 15 minutes or less.