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 87526 Fee Schedule
Last Verified: September 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 For Hepatitis G Virus, Hepatitis G Is A Virus That Can Damage The Liver. This Blood Test Detects Hepatitis G Genetic Material. The Test Is Used To Verify A Current Infection Or Monitor Response To Treatment.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 50 - Federally Qualified Health Center 20 - Urgent Care Facility |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87526 |
| Medicaid Fee Schedule | View Medicaid rates for 87526 |
National average reimbursement for CPT 87526 by major payers:
$35.95
$26.50
$40.74
$57.72
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87526.
CPT 87526
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$86.37Published rateChristopher Raio
St Joseph Hospital
$51.82Published rateHuntsville Community Hospital, Inc.
Huntsville Community Hospital Inc
$44.13Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$23.56Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$16.48Published 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 87526 vs. Other Microbiology Procedures Codes
The CPT 87526 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 87526 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 |
|---|---|---|
| 87525-CPT | Low | Test For Hepatitis G Virus, Hepatitis G Is A Virus That Can Damage The Liver. This Blood Test Detects Hepatitis G Genetic Material. The Test Is Used To Verify A Current Infection Or Monitor Response To Treatment. |
| 87526-CPT | Low | Test For Hepatitis G Virus, Hepatitis G Is A Virus That Can Damage The Liver. This Blood Test Detects Hepatitis G Genetic Material. The Test Is Used To Verify A Current Infection Or Monitor Response To Treatment. |
| 87527-CPT | Low | Test For Hepatitis G Virus, Hepatitis G Is A Virus That Can Damage The Liver. This Blood Test Detects Hepatitis G Genetic Material. The Test Is Used To Verify A Current Infection Or Monitor Response To Treatment. |
| 87528-CPT | Low | Test For Herpes Simplex Virus, The Test Detects The Herpes Simplex Virus (Hsv). If Hsv Is Present It Is Identified As Type 1 Or Type 2. The Test Sample Can Be Blood Tissue Or Fluid From A Herpes Blister. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87526. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87526 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 87526) and we'll show you how you compare in 15 minutes or less.