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See a sample rate comparisonCPT 87490 Fee Schedule
Medicare rates as of January 2026
CPT 87490 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Test To Confirm Chlamydia, This Is A Test For Confirming Infection With Chlamydia Trachomatis Commonly Transmitted Through Sexual Contact. The Sample Tested May Be Taken From The Cervix Urethra Or Urine.
| 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 QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.75 national lab fee schedule rate (2026) · View Medicare rates for 87490 |
| Medicaid Fee Schedule | $20.93 median of the 8 states in the free preview · View Medicaid rates for 87490 |
National average reimbursement for CPT 87490 by major payers:
$22.10
BCBS / Anthem
$15.52
UnitedHealthcare
$23.59
Aetna
$44.56
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87490.
CPT 87490
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$50.05Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$27.48Published ratePrisma Health-Upstate, Prisma Health Hillcrest Hospital Vascular Lab
Prisma Health - Upstate
$20.47Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$12.89Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$9.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87490 vs. Other Microbiology Procedures Codes
The table lists codes related to 87490. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| 87490-CPT | Low | Test To Confirm Chlamydia, This Is A Test For Confirming Infection With Chlamydia Trachomatis Commonly Transmitted Through Sexual Contact. The Sample Tested May Be Taken From The Cervix Urethra Or Urine. |
| 87491-CPT | Low | Test To Confirm Chlamydia, This Is A Test For Confirming Infection With Chlamydia Trachomatis Commonly Transmitted Through Sexual Contact. The Sample Tested May Be Taken From The Cervix Urethra Or Urine. |
| 87492-CPT | Low | Test To Confirm Chlamydia, This Is A Test For Confirming Infection With Chlamydia Trachomatis Commonly Transmitted Through Sexual Contact. The Sample Tested May Be Taken From The Cervix Urethra Or Urine. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87490. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87490 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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