Cost analysis for CPT 81307 — Gene analysis (partner and localizer of brca2) full sequence analysis
Average Medicare Payment
$647.28
2023 data
Total Payments (2023)
$26.1M
Services (2023)
39.4K
Price Change (2020–2023)
+129.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $282.66 | $1.6M | 5.6K | — |
| 2021 | $585.53 | $2.9M | 4.6K | +107.1% |
| 2022 | $640.58 | $17.9M | 27.7K | +9.4% |
| 2023 | $647.28 | $26.1M | 39.4K | +1.0% |
The most expensive state pays 1.3x more than the cheapest for this procedure. PA averages $662.97 vs MD at $504.53.
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Texas Molecular Diagnostics Laboratory | Clinical Laboratory | TX | $2.9M | 4.3K | $662.97 |
| Biogroup Laboratory Corp | Clinical Laboratory | FL | $2.6M | 3.9K | $662.97 |
| Apprise Diagnostics Llc | Clinical Laboratory | FL | $2.0M | 2.9K | $662.97 |
| Cliffside Labs L.L.C. | Clinical Laboratory | NJ | $1.8M | 2.8K | $662.97 |
| Star Laboratory | Clinical Laboratory | NJ | $1.4M | 2.0K | $662.97 |
| American Premier Labs | Clinical Laboratory | TX | $1.4M | 2.0K | $661.90 |
| Hematopathology Associates Llc | Clinical Laboratory | FL | $1.2M | 1.8K | $662.97 |
| Brookside Clinical Laboratory Inc | Clinical Laboratory | PA | $1.2M | 1.7K | $662.97 |
| Dynix Diagnostix | Clinical Laboratory | FL | $1.1M | 1.6K | $662.97 |
| Clear Choice Diagnostics Inc | Clinical Laboratory | FL | $1.0M | 1.5K | $662.97 |
| Unity Holding Groups Llc | Clinical Laboratory | PA | $960.0K | 1.4K | $662.97 |
| Pro Diametrics Corp | Clinical Laboratory | FL | $925.3K | 1.4K | $661.91 |
| Southern Quest Llc | Clinical Laboratory | FL | $894.3K | 1.3K | $662.97 |
| Advanced Diagnostics Laboratory Llc | Clinical Laboratory | NJ | $605.3K | 913 | $662.97 |
| White Glove Med Labs Llc | Clinical Laboratory | NJ | $605.3K | 913 | $662.97 |
| E-Lab Of Florida Inc. | Clinical Laboratory | FL | $547.6K | 826 | $662.97 |
| Reliable Results Labs Inc | Clinical Laboratory | FL | $484.0K | 745 | $649.67 |
| Ideal Diagnostic | Clinical Laboratory | FL | $475.3K | 717 | $662.97 |
| Ann Anderson | Pathology | NY | $367.3K | 554 | $662.97 |
| Elixir Diagnostics, Llc | Clinical Laboratory | TX | $343.4K | 518 | $662.97 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.