CPT 87641 Fee Schedule

Medicare rates as of January 2026

CPT 87641 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.

Antibiotic Resistance Test, The Test Detects Methicillin-Resistant Staphylococcus Aureus (Mrsa) As The Source Of An Infection. This Bacteria Is Resistant To Many Commonly Used Antibiotics And Can Cause Many Different Type Of Infections.

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	$35.09 national lab fee schedule rate (2026) · View Medicare rates for 87641
Medicaid Fee Schedule	$34.65 median of the 8 states in the free preview · View Medicaid rates for 87641

National average reimbursement for CPT 87641 by major payers:

$32.58

BCBS / Anthem

$24.93

UnitedHealthcare

$40.20

Aetna

$75.05

Cigna

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CPT 87641

5 of 25 sample ratesHigher to lower in this preview

Edmondo Robinson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
DEHospitalist PhysicianNPI 1932322054Tax ID 59-3238640
$21.04Published rate
Iman Washington
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLRadiation Oncology PhysicianNPI 1093058992Tax ID 59-3238640
$21.04Published rate
Erica Blanche Abanil
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1790357598Tax ID 59-3238640
$17.89Published rate
Shannen Whiddon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLFamily Nurse PractitionerNPI 1720574296Tax ID 59-3238640
$17.89Published rate
Frances Sahebzamani
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1952330250Tax ID 59-3238640
$17.89Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 87641 vs. Other Microbiology Procedures Codes

The table lists codes related to 87641. 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)
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
87640-CPT	Low	Test For Staph Infection, The Test Detects Staphylococcus Aureus As The Source Of An Infection. This Bacteria Can Cause Many Different Types Of Infections Including Skin Infections Cellulitis Pneumonia And Bone/Joint Infections.
87641-CPT	Low	Antibiotic Resistance Test, The Test Detects Methicillin-Resistant Staphylococcus Aureus (Mrsa) As The Source Of An Infection. This Bacteria Is Resistant To Many Commonly Used Antibiotics And Can Cause Many Different Type Of Infections.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 87641 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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