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See a sample rate comparisonCPT 87506 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.
Iadna Dna Rna Probe Tq 6 11, Infectious Agent Detection By Nucleic Acid Dna Or Rna Gastrointestinal Pathogen Eg Clostridium Difficile E Coli Salmonella Shigella Norovirus Giardia Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 6 11 Targets
| 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 | Moderate |
| Medicare Fee Schedule | $262.99 national lab fee schedule rate (2026) · View Medicare rates for 87506 |
| Medicaid Fee Schedule | $251.65 median of the 8 states in the free preview · View Medicaid rates for 87506 |
National average reimbursement for CPT 87506 by major payers:
$217.92
$163.86
$250.94
$382.69
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CPT 87506
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$395.23Published rateVhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$262.98Published rateChildren'S Hospital
Childrens Hospital Inc
$261.41Published rateFairfield Hospital District, Freestone Medical Center
$174.27Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$94.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87506 vs. Other Microbiology Procedures Codes
The CPT 87506 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 87506 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 |
|---|---|---|
| 87501-CPT | Low | Influenza Dna Amp Prob 1, Infectious Agent Detection By Nucleic Acid Dna Or Rna Influenza Virus Includes Reverse Transcription When Performed And Amplified Probe Technique Each Type Or Subtype |
| 87502-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Influenza Virus For Multiple Types Or Sub-Types Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique First 2 Types Or Sub-Types (Revised 01/01/2016) |
| 87503-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Influenza Virus For Multiple Types Or Sub-Types Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Each Additional Influenza Virus Type Or Sub-Type Beyond 2 (List Separately In Addition To Code For Primary Procedure) Revised 01/01/2016 |
| 87506-CPT | Moderate | Iadna Dna Rna Probe Tq 6 11, Infectious Agent Detection By Nucleic Acid Dna Or Rna Gastrointestinal Pathogen Eg Clostridium Difficile E Coli Salmonella Shigella Norovirus Giardia Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 6 11 Targets |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87506. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87506 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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