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See a sample rate comparisonCPT 87486 Fee Schedule
Medicare rates as of January 2026
CPT 87486 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Chlamydia Pne, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Chlamydia Pne
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.09 national lab fee schedule rate (2026) · View Medicare rates for 87486 |
| Medicaid Fee Schedule | $32.28 median of the 8 states in the free preview · View Medicaid rates for 87486 |
National average reimbursement for CPT 87486 by major payers:
$32.10
BCBS / Anthem
$25.23
UnitedHealthcare
$37.13
Aetna
$52.06
Cigna
Compare published rates across providers.
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CPT 87486
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$77.20Published rateChristopher Raio
St Francis Hospital
$46.32Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$35.09Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$21.05Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$12.27Published rate
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See a sample payer proposalCPT 87486 vs. Other Microbiology Procedures Codes
The table lists codes related to 87486. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87484-CPT | Low | Test For Parasitic Infection, This Is A Test For Confirming Infection With Ehrlichia Chaffeensis A Parasitic Infection Commonly Transmitted Through Ticks. |
| 87485-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Chlamydia Pneumoniae Direct Probe Technique Infectious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87486-CPT | Low | Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Chlamydia Pne, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Chlamydia Pne |
| 87487-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Chlamydia Pneumoniae Quantification Infect Ious Agent Detection By Nucleic Acid (Dna Or Rna) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87486 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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