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See a sample rate comparisonCPT 87590 Fee Schedule
Medicare rates as of January 2026
CPT 87590 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Neisseria Gonorrhoeae Direct Probe Techniqu E Infectious Agent Detection By Nucleic Acid (Dnaor Rna)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.88 national lab fee schedule rate (2026) · View Medicare rates for 87590 |
| Medicaid Fee Schedule | $24.73 median of the 8 states in the free preview · View Medicaid rates for 87590 |
National average reimbursement for CPT 87590 by major payers:
$25.04
BCBS / Anthem
$16.73
UnitedHealthcare
$25.94
Aetna
$38.40
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87590.
CPT 87590
5 of 25 sample ratesHigher to lower in this preview
Naghma Farooqi
$147.50Published rateRandall Wolf
Deaconess Health Care Services Co
$17.55Published rateGillian Harrison
Inova Health Care Services
$14.77Published rateAurosis Reddy
$11.28Published rateManuel A Alzugaray Md PA
$6.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87590 vs. Other Microbiology Procedures Codes
The table lists codes related to 87590. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| 87590-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Neisseria Gonorrhoeae Direct Probe Techniqu E Infectious Agent Detection By Nucleic Acid (Dnaor Rna) |
| 87591-CPT | Low | Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Neisseria Gon, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Neisseria Gon |
| 87592-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Neisseria Gonorrhoeae Quantification Infec Tious Agent 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 87590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87590 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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