# CPT 87164: Dark field examination, spirochetes

Medicare CPT 87164 pays $18.04 in a non-facility setting and $18.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.07 in Arkansas to $24.27 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/87164-cpt-fee-schedule
Section: Laboratory and Pathology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $18.04 |
| National facility | $18.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $24.27 | $24.27 |
| District of Columbia | $19.73 | $19.73 |
| New Jersey | $19.40 | $19.40 |
| New York | $19.38 | $19.38 |
| California | $19.36 | $19.36 |
| Washington | $19.14 | $19.14 |
| Massachusetts | $19.02 | $19.02 |
| Connecticut | $18.78 | $18.78 |
| Hawaii | $18.67 | $18.67 |
| Colorado | $18.47 | $18.47 |
| Maryland | $18.46 | $18.46 |
| Rhode Island | $18.42 | $18.42 |
| Florida | $18.37 | $18.37 |
| Oregon | $18.34 | $18.34 |
| New Hampshire | $18.23 | $18.23 |
| Illinois | $18.19 | $18.19 |
| Puerto Rico | $18.09 | $18.09 |
| Virgin Islands | $18.09 | $18.09 |
| Pennsylvania | $18.05 | $18.05 |
| Montana | $18.04 | $18.04 |
| Delaware | $17.99 | $17.99 |
| Nevada | $17.99 | $17.99 |
| Texas | $17.99 | $17.99 |
| Minnesota | $17.97 | $17.97 |
| Wyoming | $17.95 | $17.95 |
| Georgia | $17.86 | $17.86 |
| North Dakota | $17.84 | $17.84 |
| Virginia | $17.84 | $17.84 |
| Michigan | $17.83 | $17.83 |
| Arizona | $17.81 | $17.81 |
| South Dakota | $17.81 | $17.81 |
| Vermont | $17.81 | $17.81 |
| Maine | $17.66 | $17.66 |
| Utah | $17.66 | $17.66 |
| New Mexico | $17.63 | $17.63 |
| Wisconsin | $17.57 | $17.57 |
| Louisiana | $17.56 | $17.56 |
| Missouri | $17.56 | $17.56 |
| Ohio | $17.55 | $17.55 |
| South Carolina | $17.55 | $17.55 |
| North Carolina | $17.54 | $17.54 |
| Indiana | $17.45 | $17.45 |
| West Virginia | $17.44 | $17.44 |
| Idaho | $17.41 | $17.41 |
| Nebraska | $17.39 | $17.39 |
| Kentucky | $17.38 | $17.38 |
| Tennessee | $17.37 | $17.37 |
| Iowa | $17.35 | $17.35 |
| Oklahoma | $17.35 | $17.35 |
| Kansas | $17.33 | $17.33 |
| Alabama | $17.18 | $17.18 |
| Mississippi | $17.16 | $17.16 |
| Arkansas | $17.07 | $17.07 |

## Related codes

- 87070: Culture, bacterial, any source, aerobic, with isolation — https://www.med-reveal.com/rates/87070-cpt-fee-schedule
- 87071: Culture, bacterial, quantitative, aerobic — https://www.med-reveal.com/rates/87071-cpt-fee-schedule
- 87081: Culture, presumptive, pathogenic organisms, screening — https://www.med-reveal.com/rates/87081-cpt-fee-schedule
- 87086: Culture, bacterial, quantitative colony count, urine — https://www.med-reveal.com/rates/87086-cpt-fee-schedule
- 87088: Culture, bacterial, urine, with isolation and identification — https://www.med-reveal.com/rates/87088-cpt-fee-schedule
- 87101: Culture, fungi, skin/hair/nail — https://www.med-reveal.com/rates/87101-cpt-fee-schedule
- 87102: Culture, fungi, other source — https://www.med-reveal.com/rates/87102-cpt-fee-schedule
- 87106: Culture, fungi, definitive identification — https://www.med-reveal.com/rates/87106-cpt-fee-schedule

Commercial negotiated rates for 87164 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