Cost analysis for CPT 81249 — Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis
Average Medicare Payment
$585.18
2023 data
Total Payments (2023)
$21.3M
Services (2023)
36.2K
Price Change (2020–2023)
+12.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $518.92 | $268.8K | 457 | — |
| 2021 | $568.40 | $1.5M | 2.6K | +9.5% |
| 2022 | $588.66 | $11.1M | 18.8K | +3.6% |
| 2023 | $585.18 | $21.3M | 36.2K | -0.6% |
The most expensive state pays 1.0x more than the cheapest for this procedure. TX averages $588.00 vs NJ at $586.08.
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Texas Molecular Diagnostics Laboratory | Clinical Laboratory | TX | $3.2M | 5.4K | $588.00 |
| American Premier Labs | Clinical Laboratory | TX | $2.3M | 3.9K | $588.00 |
| Biogroup Laboratory Corp | Clinical Laboratory | FL | $2.0M | 3.3K | $588.00 |
| Apprise Diagnostics Llc | Clinical Laboratory | FL | $1.6M | 2.8K | $588.00 |
| Cliffside Labs L.L.C. | Clinical Laboratory | NJ | $1.4M | 2.4K | $588.00 |
| Star Laboratory | Clinical Laboratory | NJ | $1.1M | 1.8K | $588.00 |
| Dynix Diagnostix | Clinical Laboratory | FL | $894.3K | 1.5K | $588.00 |
| Pro Diametrics Corp | Clinical Laboratory | FL | $840.1K | 1.4K | $587.49 |
| Clear Choice Diagnostics Inc | Clinical Laboratory | FL | $827.9K | 1.4K | $588.00 |
| Brookside Clinical Laboratory Inc | Clinical Laboratory | PA | $826.1K | 1.4K | $588.00 |
| Unity Holding Groups Llc | Clinical Laboratory | PA | $582.7K | 991 | $588.00 |
| E-Lab Of Florida Inc. | Clinical Laboratory | FL | $489.8K | 833 | $588.00 |
| White Glove Med Labs Llc | Clinical Laboratory | NJ | $487.5K | 829 | $588.00 |
| Advanced Diagnostics Laboratory Llc | Clinical Laboratory | NJ | $481.6K | 819 | $588.00 |
| Reliable Results Labs Inc | Clinical Laboratory | FL | $458.6K | 780 | $588.00 |
| Southern Quest Llc | Clinical Laboratory | FL | $347.5K | 591 | $588.00 |
| Neva Diagnostics | Clinical Laboratory | TX | $318.1K | 541 | $588.00 |
| Prince Laboratories Limited Liability Company | Clinical Laboratory | FL | $286.4K | 487 | $588.00 |
| Elite Clinical Laboratory, Inc | Clinical Laboratory | TX | $276.9K | 471 | $588.00 |
| Hematopathology Associates Llc | Clinical Laboratory | FL | $264.6K | 450 | $588.00 |
Based on the data, CPT 81249 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 12.8% since 2020. 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.