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See a sample rate comparisonCPT 87650 Fee Schedule
Medicare rates as of January 2026
CPT 87650 is classified under Pathology and Laboratory Procedures, in the Microbiology Procedures subgroup.
Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Direct Probe Techniq Ue Infectious Agent Detection By Nucleic Acid (Dna Or Rna)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.05 national lab fee schedule rate (2026) · View Medicare rates for 87650 |
| Medicaid Fee Schedule | $18.445 median of the 8 states in the free preview · View Medicaid rates for 87650 |
National average reimbursement for CPT 87650 by major payers:
$18.23
BCBS / Anthem
$14.70
UnitedHealthcare
$22.02
Aetna
$29.86
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 87650.
CPT 87650
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$26.47Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
$18.04Published rateChristopher Raio
St Joseph Hospital
$12.03Published rateE 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
$7.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87650 vs. Other Microbiology Procedures Codes
The table lists codes related to 87650. 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) |
| 87650-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Direct Probe Techniq Ue Infectious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87651-CPT | Low | Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Streptococcus, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Streptococcus |
| 87652-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Streptococcus Group A Quantification Infe Ctious 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 87650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87650 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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