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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 81307
  4. Cost Analysis

How Much Does Gene analysis (partner and localizer of brca2) full sequence analysis Cost on Medicare?

Cost analysis for CPT 81307 — Gene analysis (partner and localizer of brca2) full sequence analysis

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Average Medicare Payment

$647.28

2023 data

Total Payments (2023)

$26.1M

Services (2023)

39.4K

Price Change (2020–2023)

+129.0%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$282.66$1.6M5.6K—
2021$585.53$2.9M4.6K+107.1%
2022$640.58$17.9M27.7K+9.4%
2023$647.28$26.1M39.4K+1.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.3x more than the cheapest for this procedure. PA averages $662.97 vs MD at $504.53.

StateAvg PaymentTotal PaymentsServicesProviders
PA$662.97$2.1M3.2K2
NY$662.97$367.3K5541
OK$662.97$68.3K1032
LA$662.97$104.7K1583
TX$662.30$6.1M9.3K17
FL$662.07$12.7M19.2K25
NJ$661.16$4.4M6.7K7
MD$504.53$56.5K1122

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Texas Molecular Diagnostics LaboratoryClinical LaboratoryTX$2.9M4.3K$662.97
Biogroup Laboratory CorpClinical LaboratoryFL$2.6M3.9K$662.97
Apprise Diagnostics LlcClinical LaboratoryFL$2.0M2.9K$662.97
Cliffside Labs L.L.C.Clinical LaboratoryNJ$1.8M2.8K$662.97
Star LaboratoryClinical LaboratoryNJ$1.4M2.0K$662.97
American Premier LabsClinical LaboratoryTX$1.4M2.0K$661.90
Hematopathology Associates LlcClinical LaboratoryFL$1.2M1.8K$662.97
Brookside Clinical Laboratory IncClinical LaboratoryPA$1.2M1.7K$662.97
Dynix DiagnostixClinical LaboratoryFL$1.1M1.6K$662.97
Clear Choice Diagnostics IncClinical LaboratoryFL$1.0M1.5K$662.97
Unity Holding Groups LlcClinical LaboratoryPA$960.0K1.4K$662.97
Pro Diametrics CorpClinical LaboratoryFL$925.3K1.4K$661.91
Southern Quest LlcClinical LaboratoryFL$894.3K1.3K$662.97
Advanced Diagnostics Laboratory LlcClinical LaboratoryNJ$605.3K913$662.97
White Glove Med Labs LlcClinical LaboratoryNJ$605.3K913$662.97
E-Lab Of Florida Inc.Clinical LaboratoryFL$547.6K826$662.97
Reliable Results Labs IncClinical LaboratoryFL$484.0K745$649.67
Ideal DiagnosticClinical LaboratoryFL$475.3K717$662.97
Ann AndersonPathologyNY$367.3K554$662.97
Elixir Diagnostics, LlcClinical LaboratoryTX$343.4K518$662.97

🤔 Is Gene analysis (partner and localizer of brca2) full sequence analysis Overpriced?

Based on the data, CPT 81307 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 129.0% 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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.