Cost analysis for CPT 80061 — Blood test, lipids (cholesterol and triglycerides)
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.0x more than the cheapest for this procedure. DE averages $13.12 vs PR at $12.88.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DE | $13.12 | $45.2K | 3.4K | 5 |
| VI | $13.12 | $70.8K | 5.4K | 7 |
| CA | $13.11 | $24.7M | 1.9M | 699 |
| MA | $13.11 | $5.8M | 442.8K | 718 |
| KS | $13.11 | $5.1M | 386.6K | 289 |
| NJ | $13.11 | $23.9M | 1.8M | 366 |
| FL | $13.11 | $24.1M | 1.8M | 1.2K |
| NV | $13.11 | $1.5M | 117.8K | 47 |
| PA | $13.11 | $3.6M | 272.5K | 178 |
| CO | $13.10 | $1.7M | 131.3K | 190 |
| RI | $13.10 | $329.0K | 25.1K | 22 |
| NM | $13.10 | $637.7K | 48.7K | 59 |
| MT | $13.10 | $193.5K | 14.8K | 58 |
| NY | $13.10 | $10.7M | 815.9K | 1.5K |
| NH | $13.10 | $157.5K | 12.0K | 92 |
| MD | $13.10 | $4.2M | 317.2K | 291 |
| NC | $13.10 | $20.7M | 1.6M | 1.2K |
| TX | $13.10 | $20.8M | 1.6M | 1.8K |
| IL | $13.09 | $5.7M | 436.1K | 567 |
| AZ | $13.09 | $7.7M | 584.5K | 529 |
| MO | $13.09 | $1.5M | 116.5K | 504 |
| OH | $13.09 | $8.6M | 655.1K | 476 |
| OK | $13.09 | $2.5M | 188.0K | 214 |
| VT | $13.09 | $67.7K | 5.2K | 98 |
| CT | $13.09 | $416.6K | 31.8K | 207 |
| SD | $13.09 | $386.6K | 29.5K | 147 |
| ND | $13.09 | $424.0K | 32.4K | 103 |
| GA | $13.09 | $6.3M | 483.2K | 642 |
| VA | $13.08 | $5.1M | 390.2K | 632 |
| IN | $13.08 | $1.7M | 130.2K | 232 |
| MI | $13.08 | $1.5M | 116.1K | 331 |
| UT | $13.08 | $765.1K | 58.5K | 308 |
| WA | $13.08 | $3.8M | 292.4K | 530 |
| WY | $13.08 | $118.3K | 9.0K | 71 |
| IA | $13.08 | $1.1M | 84.7K | 358 |
| ME | $13.07 | $267.4K | 20.5K | 168 |
| LA | $13.07 | $1.6M | 120.4K | 365 |
| NE | $13.07 | $782.0K | 59.9K | 235 |
| KY | $13.07 | $1.4M | 104.7K | 235 |
| AR | $13.06 | $1.3M | 96.7K | 405 |
| HI | $13.06 | $1.6M | 119.9K | 11 |
| AL | $13.06 | $7.1M | 546.5K | 592 |
| DC | $13.06 | $25.4K | 1.9K | 16 |
| SC | $13.05 | $2.5M | 191.7K | 371 |
| ID | $13.05 | $214.8K | 16.5K | 100 |
| OR | $13.05 | $1.5M | 118.8K | 347 |
| MN | $13.05 | $1.4M | 106.6K | 1.3K |
| TN | $13.04 | $5.4M | 413.0K | 1.3K |
| WI | $13.04 | $2.7M | 205.5K | 530 |
| WV | $13.03 | $272.5K | 20.9K | 64 |
| MS | $13.02 | $2.0M | 154.2K | 526 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $13.8M | 1.1M | $13.10 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $10.9M | 828.9K | $13.11 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $8.4M | 638.2K | $13.12 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $8.3M | 633.4K | $13.12 |
| Unilab Corporation | Clinical Laboratory | CA | $5.9M | 450.6K | $13.11 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $5.2M | 396.4K | $13.08 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $4.7M | 360.9K | $13.10 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $4.6M | 347.4K | $13.11 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $4.0M | 307.2K | $13.11 |
| Clinical Pathology Laboratories, Inc. | Clinical Laboratory | TX | $3.9M | 300.0K | $13.12 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $3.9M | 295.6K | $13.12 |
| Unilab Corporation | Clinical Laboratory | CA | $3.7M | 283.0K | $13.12 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $3.5M | 267.2K | $13.09 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $3.3M | 253.3K | $13.12 |
| Labone Llc | Clinical Laboratory | KS | $3.2M | 240.7K | $13.12 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $3.1M | 239.5K | $13.12 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $2.8M | 212.2K | $13.12 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $2.6M | 199.2K | $13.12 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $2.5M | 192.7K | $13.12 |
| Laboratory Corporation Of America | Clinical Laboratory | TX | $2.5M | 190.1K | $13.08 |
Based on the data, CPT 80061 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.