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See a sample rate comparisonCPT 89190 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Allergy Test Nasal Swab, A Mucous Sample From The Nose Is Examined For Eosinophils A Type Of White Blood Cell. Increased Quantities Of Eosinophils In The Mucus Can Indicate Allergies.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Other Pathology and Laboratory Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.79 national lab fee schedule rate (2026) · View Medicare rates for 89190 |
| Medicaid Fee Schedule | $5.33 median of the 8 states in the free preview · View Medicaid rates for 89190 |
National average reimbursement for CPT 89190 by major payers:
$5.09
$4.81
$6.00
$8.43
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CPT 89190
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$9.04Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$6.01Published rateHospital Service District No. 1 Of The Parish Of St. Mary, Bayou Bend Health System
Hospital Service District No 1 Of The Parish Of St Mary
$5.21Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$3.47Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$2.78Published rate
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See a sample payer proposalCPT 89190 vs. Other Other Pathology and Laboratory Procedures Codes
The CPT 89190 code is part of the Pathology and Laboratory Procedures services used for Other Pathology and Laboratory Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 89190 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 89050-CPT | Low | Analysis Of Body Fluid, This Analysis Usually Looks At Body Fluid From The Spine Or A Joint. Numbers Of Each Type Of Cell That Is Present Are Counted Often To Check For An Infection In The Area Near The Sample. |
| 89051-CPT | Low | Analysis Of Body Fluid, This Analysis Usually Looks At Body Fluid From The Spine Or A Joint. Numbers Of Each Type Of Cell That Is Present Are Counted Often To Check For An Infection In The Area Near The Sample. |
| 89055-CPT | Low | Stool White Blood Cell Count, The Test Identifies White Blood Cells (Wbcs) In A Stool Sample. Presence Absence And Quantity Of Wbcs All Give Clues About What Is Causing Diarrhea. |
| 89190-CPT | Low | Allergy Test Nasal Swab, A Mucous Sample From The Nose Is Examined For Eosinophils A Type Of White Blood Cell. Increased Quantities Of Eosinophils In The Mucus Can Indicate Allergies. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89190 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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