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See a sample rate comparisonCPT 87624 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.09 national lab fee schedule rate (2026) · View Medicare rates for 87624 |
| Medicaid Fee Schedule | $34.65 median of the 8 states in the free preview · View Medicaid rates for 87624 |
National average reimbursement for CPT 87624 by major payers:

$32.71
BCBS / Anthem

$24.62
UnitedHealthcare

$38.50
Aetna

$71.32
Cigna
Choose a payer to see a sample of rates for CPT 87624.
St. Lukes Hospital At The Vintage
St Lukes Hospital At The Vintage
Chca Mainland, L.P., Mainland Medical Center
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
St Helena Parish Hospital, St Helena Parish Hospital
St Helena Parish Hospital
Hospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 87624 vs. Other Microbiology Procedures Codes
The table lists codes related to 87624. 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) |
| 87623-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
| 87624-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
| 87625-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87624 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.
Bring your top codes (like CPT 87624) and we'll show you how you compare in 15 minutes or less.
A Current Procedural Terminology (CPT) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services to payers like insurance companies. These codes are critical for accurate billing and processing of claims, ensuring that the specific procedures performed on a patient are clearly identified.
Finding the exact cost of a medical procedure can be complex due to various factors, including your specific insurance plan, geographic location, and the healthcare provider. For detailed and specific cost estimates based on CPT codes and your location, it is recommended to use tools like Payerprice's fee schedule lookup tool.
A fee schedule is a comprehensive list of fees that outlines the maximum amount a health plan will reimburse for specific medical services, procedures, and supplies. These schedules are often established through negotiations between providers and payers and can vary significantly.
CMS (Centers for Medicare & Medicaid Services) is a federal agency that administers government health programs like Medicare and Medicaid, setting its own fee schedules for these services, which can influence broader market rates. Payerprice, on the other hand, offers a dedicated fee schedule lookup tool where users can search for estimated costs for various procedures using CPT codes and specific locations, often reflecting commercial payer data that may differ from CMS rates.
For precise and localized information on medical procedure costs, including details based on a specific CPT code and your geographic location, it is highly recommended to utilize Payerprice's fee schedule lookup tool. This platform allows users to input relevant criteria to get valuable fee schedule insights.
Payerprice aims to enhance transparency in healthcare pricing by providing access to fee schedule information. While actual costs can vary based on individual insurance benefits and provider agreements, tools like Payerprice's lookup offer valuable estimates and data-driven insights, making it a useful resource for researching potential healthcare expenditures.