# CPT 86077: Blood bank physician services, difficult crossmatch

Medicare CPT 86077 pays $51.44 in a non-facility setting and $39.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $47.94 in Arkansas to $67.29 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/86077-cpt-fee-schedule
Section: Laboratory and Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $51.44 |
| National facility | $39.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $67.29 | $54.84 |
| District of Columbia | $56.67 | $42.90 |
| New York | $55.70 | $42.65 |
| New Jersey | $55.56 | $42.39 |
| California | $55.26 | $41.43 |
| Washington | $54.72 | $41.40 |
| Massachusetts | $54.41 | $41.27 |
| Connecticut | $53.87 | $41.28 |
| Hawaii | $53.34 | $40.05 |
| Florida | $53.08 | $41.35 |
| Maryland | $52.78 | $40.59 |
| Colorado | $52.66 | $40.22 |
| Rhode Island | $52.47 | $40.39 |
| Illinois | $52.43 | $41.13 |
| Oregon | $52.24 | $39.92 |
| New Hampshire | $52.01 | $39.84 |
| Puerto Rico | $51.62 | $39.80 |
| Virgin Islands | $51.62 | $39.80 |
| Pennsylvania | $51.44 | $39.99 |
| Montana | $51.43 | $39.74 |
| Delaware | $51.19 | $39.64 |
| Texas | $51.19 | $39.68 |
| Nevada | $51.18 | $39.48 |
| Wyoming | $51.00 | $39.31 |
| Michigan | $50.96 | $39.98 |
| Georgia | $50.94 | $39.78 |
| Minnesota | $50.81 | $38.78 |
| Virginia | $50.62 | $39.13 |
| Arizona | $50.61 | $39.28 |
| North Dakota | $50.45 | $38.76 |
| Vermont | $50.42 | $38.85 |
| South Dakota | $50.33 | $38.64 |
| New Mexico | $50.19 | $39.47 |
| Utah | $50.12 | $39.14 |
| Maine | $49.97 | $38.80 |
| Louisiana | $49.86 | $39.19 |
| Missouri | $49.85 | $39.12 |
| Ohio | $49.79 | $39.12 |
| South Carolina | $49.74 | $38.94 |
| West Virginia | $49.66 | $39.50 |
| North Carolina | $49.56 | $38.65 |
| Wisconsin | $49.48 | $38.28 |
| Indiana | $49.19 | $38.35 |
| Kentucky | $49.18 | $38.79 |
| Idaho | $49.03 | $38.28 |
| Oklahoma | $49.03 | $38.59 |
| Nebraska | $48.93 | $38.14 |
| Tennessee | $48.93 | $38.31 |
| Iowa | $48.81 | $38.12 |
| Kansas | $48.78 | $38.21 |
| Mississippi | $48.36 | $38.29 |
| Alabama | $48.33 | $38.10 |
| Arkansas | $47.94 | $37.90 |

## Related codes

- 86038: Antinuclear antibodies (ANA) — https://www.med-reveal.com/rates/86038-cpt-fee-schedule
- 86039: Antinuclear antibodies, titer — https://www.med-reveal.com/rates/86039-cpt-fee-schedule
- 86060: Antistreptolysin O, titer — https://www.med-reveal.com/rates/86060-cpt-fee-schedule
- 86141: C-reactive protein, high sensitivity — https://www.med-reveal.com/rates/86141-cpt-fee-schedule
- 86147: Cardiolipin antibody, each Ig class — https://www.med-reveal.com/rates/86147-cpt-fee-schedule
- 86159: Complement, antigen, each component — https://www.med-reveal.com/rates/86159-cpt-fee-schedule
- 86160: Complement, functional activity, each component — https://www.med-reveal.com/rates/86160-cpt-fee-schedule
- 86200: Cyclic citrullinated peptide (CCP) antibody — https://www.med-reveal.com/rates/86200-cpt-fee-schedule

Commercial negotiated rates for 86077 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules