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See a sample rate comparisonCPT 87625 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 | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $40.55 national lab fee schedule rate (2026) · View Medicare rates for 87625 |
| Medicaid Fee Schedule | $40.045 median of the 8 states in the free preview · View Medicaid rates for 87625 |
National average reimbursement for CPT 87625 by major payers:

$36.34
BCBS / Anthem

$26.33
UnitedHealthcare

$40.76
Aetna

$78.00
Cigna
Choose a payer to see a sample of rates for CPT 87625.
Vineetha Alias
Atlantic Health System Inc
Hospital Service District #2 Of Lasalle Parish, Lasalle General Hospital
Hospital Service District 2 Of Lasalle Parish
Baycare Home Care, Inc.
Baycare Home Care Inc
Michael Shuler
Athens Orthopedic Clinic, P.A.
E And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 87625 vs. Other Microbiology Procedures Codes
The table lists codes related to 87625. 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 87625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87625 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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