What is the standard insurance baseline for CPT 87389?

The standard insurance baseline reimbursement rate is $23.60. This represents the customary allowable amount established across standard fee schedules.

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CPT 87389Medical Service

Detection Test by Immunoassay Technique for Hiv-1 Antigen and Hiv-1 and Hiv-2 Antibodies

Q: What do doctors typically charge for Detection Test by Immunoassay Technique for Hiv-1 Antigen and Hiv-1 and Hiv-2 Antibodies?

The nationwide median physician charge for Detection Test by Immunoassay Technique for Hiv-1 Antigen and Hiv-1 and Hiv-2 Antibodies (CPT 87389) is $80.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies. Clinical pricing breakdown and utilization metrics across 371 practicing doctors nationwide.

$80.00

Peer Median Charge

Gross billed rate

$23.60

Standard Baseline

Customary allowable

3.4x

National Markup

Charge vs baseline

371

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $80.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $23.60 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 87389 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"