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 87507 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 12 25, 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 12 25 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 | $416.78 national lab fee schedule rate (2026) · View Medicare rates for 87507 |
| Medicaid Fee Schedule | $411.57 median of the 8 states in the free preview · View Medicaid rates for 87507 |
National average reimbursement for CPT 87507 by major payers:
$355.69
$289.20
$439.19
$601.89
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87507.
CPT 87507
5 of 25 sample ratesHigher to lower in this preview
Lubbock Heritage Hospital, LLC., Grace Surgical Hospital
Lubbock Heritage Hospital LLC
$680.61Published rateScott & White Memorial Hospital, Baylor Scott & White Medical Center - Temple
Scott & White Memorial Hospital
$416.77Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$416.77Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Trinity Clinic
$250.07Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$175.05Published 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 87507 vs. Other Microbiology Procedures Codes
The CPT 87507 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 87507 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 |
|---|---|---|
| 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) |
| 87505-CPT | Low | Nfct Agent Detection Gi, 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 3 5 Targets |
| 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 |
| 87507-CPT | Moderate | Iadna Dna Rna Probe Tq 12 25, 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 12 25 Targets |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87507 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 87507) and we'll show you how you compare in 15 minutes or less.