RxDoctor Payments Data
★ My doctorsLook up a doctor →

CPT 87107

Culture for identification of yeast

$10.11Medicare-allowed amount per service, averaged across 15,252 services
Providers submitted
$50.55

Asking price, not received

Medicare allowed
$10.11

The fee schedule figure

Medicare paid
$10.11

Balance is patient coinsurance

Providers submitted an average of $50.55 for this code and Medicare allowed $10.11 — 5.0× 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 $10.11 (100%); the rest is the patient’s coinsurance and deductible.

Services
15,252

Medicare Part B, 2024

Beneficiaries
9,066
Providers billing it
65
Total allowed
$154,198

Services × allowed amount

What Medicare pays for CPT 87107

Across 15,252 services billed by 65 providers to 9,066 beneficiaries, Medicare allowed an average of $10.11 per service. That is 1.7 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 87107

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory14,5408,402$10.1162
Pathology693648$10.112
Hematology-Oncology1916$10.111

87107 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
Florida8,678$10.11$10.117
California1,476$10.11$10.1114
Georgia986$10.11$10.112
New Jersey655$10.11$10.111
Texas590$10.10$10.114
Tennessee353$10.10$10.112
Minnesota302$10.15$10.113
Illinois302$10.11$10.111
Arizona297$10.11$10.111
Oklahoma238$10.09$10.112
Wisconsin209$10.03$10.112
Pennsylvania142$10.11$10.113
Maryland133$10.11$10.111
Alabama115$10.03$10.112
Missouri114$10.11$10.111
Massachusetts108$10.11$10.112
Virginia105$10.11$10.114
Kansas93$10.11$10.111
North Carolina67$10.11$10.111
Nevada61$9.97$10.111
Hawaii55$10.11$10.111
Ohio53$10.11$10.112
New York26$9.76$10.112
Nebraska25$10.11$10.111
Washington23$10.11$10.111
Maine20$10.11$10.111
New Mexico15$10.11$10.111
Iowa11$10.11$10.111

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.