Cost analysis for CPT 81595 — Test for detecting genes associated with heart diseases
Average Medicare Payment
$3160.83
2023 data
Total Payments (2023)
$24.7M
Services (2023)
7.8K
Price Change (2016–2023)
+15.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2016 | $2730.59 | $12.9M | 4.7K | — |
| 2017 | $2741.91 | $12.7M | 4.6K | +0.4% |
| 2018 | $3133.96 | $18.1M | 5.8K | +14.3% |
| 2019 | $3138.73 | $19.6M | 6.2K | +0.2% |
| 2020 | $3187.46 | $22.2M | 7.0K | +1.6% |
| 2021 | $3223.86 | $27.3M | 8.5K | +1.1% |
| 2022 | $3185.10 | $30.9M | 9.7K | -1.2% |
| 2023 | $3160.83 | $24.7M | 7.8K | -0.8% |
The most expensive state pays 1.0x more than the cheapest for this procedure. CA averages $3160.83 vs CA at $3160.83.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $3160.83 | $24.7M | 7.8K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Caredx Inc. | Clinical Laboratory | CA | $24.7M | 7.8K | $3160.83 |
Based on the data, CPT 81595 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 15.8% since 2016. 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.