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See a sample rate comparisonCPT 87533 Fee Schedule
Medicare rates as of January 2026
CPT 87533 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Test Human Herpesvirus 6, The Test Detects Infection With Human Herpes Virus-6 Which Causes Roseola In Children. The Virus Causes Lung Liver And Brain Infections In People With Weak Immune Systems.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.76 national lab fee schedule rate (2026) · View Medicare rates for 87533 |
| Medicaid Fee Schedule | $36.10 median of the 8 states in the free preview · View Medicaid rates for 87533 |
National average reimbursement for CPT 87533 by major payers:
$41.15
BCBS / Anthem
$30.12
UnitedHealthcare
$47.82
Aetna
$60.67
Cigna
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CPT 87533
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$91.87Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$49.61Published rateWaccamaw Community Hospital, Tidelands Waccamaw Community Hospital
Waccamaw Community Hospital
$41.75Published rateRestorative Health Rehabilitation Inc
$35.00Published rateChristopher Raio
Mercy Medical Center
$22.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87533 vs. Other Microbiology Procedures Codes
The table lists codes related to 87533. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 87533-CPT | Low | Test Human Herpesvirus 6, The Test Detects Infection With Human Herpes Virus-6 Which Causes Roseola In Children. The Virus Causes Lung Liver And Brain Infections In People With Weak Immune Systems. |
| 87534-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Hiv-1 Direct Probe Technique Infectious Ag Ent Detection By Nucleic Acid (Dna Or Rna) |
| 87535-CPT | Low | Hiv 1 Probe Reverse Trnscrpj, Infectious Agent Detection By Nucleic Acid Dna Or Rna Hiv 1 Amplified Probe Technique Includes Reverse Transcription When Performed |
| 87537-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Hiv-2 Direct Probe Technique Infectious Ag Ent 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 87533. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87533 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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