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CPT 87076

Bacterial culture for anaerobic isolates

$7.91Medicare-allowed amount per service, averaged across 25,983 services
Providers submitted
$49.40

Asking price, not received

Medicare allowed
$7.91

The fee schedule figure

Medicare paid
$7.91

Balance is patient coinsurance

Providers submitted an average of $49.40 for this code and Medicare allowed $7.91 — 6.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $7.91 (100%); the rest is the patient’s coinsurance and deductible.

Services
25,983

Medicare Part B, 2024

Beneficiaries
22,238
Providers billing it
112
Total allowed
$205,526

Services × allowed amount

What Medicare pays for CPT 87076

Across 25,983 services billed by 112 providers to 22,238 beneficiaries, Medicare allowed an average of $7.91 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 87076

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory25,85222,112$7.91107
Pathology5451$7.922
Hematology-Oncology3028$7.921
Family Practice2626$7.921
Internal Medicine2121$7.921

87076 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
Florida4,269$7.92$7.9211
California3,943$7.92$7.9218
New Jersey3,080$7.92$7.925
Texas2,340$7.92$7.929
North Carolina1,307$7.90$7.922
Illinois910$7.92$7.922
Georgia842$7.92$7.921
Washington832$7.91$7.923
Kansas720$7.91$7.922
Wisconsin712$7.88$7.923
New Mexico690$7.89$7.921
Colorado597$7.91$7.923
Oklahoma589$7.90$7.924
Arizona578$7.91$7.923
Ohio519$7.91$7.924
Massachusetts499$7.92$7.923
Tennessee484$7.92$7.923
Pennsylvania421$7.92$7.924
Alabama373$7.92$7.922
Hawaii315$7.92$7.922
Connecticut291$7.92$7.921
Missouri225$7.92$7.922
Utah201$7.92$7.921
Indiana190$7.85$7.922
Oregon186$7.92$7.922
Virginia155$7.89$7.922
Maryland139$7.92$7.922
Nevada86$7.92$7.921
Michigan84$7.92$7.922
Nebraska77$7.92$7.921
Iowa73$7.92$7.922
Minnesota68$7.92$7.923
Kentucky47$7.65$7.921
South Dakota47$7.65$7.921
New York38$7.73$7.921
Louisiana23$7.92$7.921
Mississippi20$7.92$7.921
North Dakota13$7.92$7.921

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.