Cost analysis for CPT 87086 — Bacterial colony count, urine
Average Medicare Payment
$7.87
2023 data
Total Payments (2023)
$35.2M
Services (2023)
4.5M
Price Change (2014–2023)
-26.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $10.68 | $54.4M | 5.1M | — |
| 2015 | $10.66 | $54.8M | 5.1M | -0.2% |
| 2016 | $10.66 | $55.8M | 5.2M | 0.0% |
| 2017 | $10.70 | $56.1M | 5.2M | +0.4% |
| 2018 | $9.69 | $50.0M | 5.1M | -9.4% |
| 2019 | $8.74 | $44.6M | 5.1M | -9.8% |
| 2020 | $7.98 | $33.8M | 4.2M | -8.7% |
| 2021 | $8.03 | $35.0M | 4.3M | +0.6% |
| 2022 | $7.92 | $34.5M | 4.3M | -1.4% |
| 2023 | $7.87 | $35.2M | 4.5M | -0.6% |
The most expensive state pays 1.0x more than the cheapest for this procedure. WY averages $7.91 vs DC at $7.78.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| WY | $7.91 | $1.9K | 234 | 6 |
| VI | $7.91 | $933.38 | 118 | 1 |
| MO | $7.91 | $220.9K | 27.9K | 13 |
| NM | $7.91 | $71.0K | 9.0K | 9 |
| MA | $7.91 | $946.4K | 119.7K | 349 |
| FL | $7.91 | $3.9M | 492.4K | 400 |
| KS | $7.91 | $796.0K | 100.7K | 19 |
| NV | $7.91 | $254.6K | 32.2K | 10 |
| NH | $7.91 | $14.2K | 1.8K | 40 |
| NY | $7.91 | $1.8M | 232.9K | 660 |
| SC | $7.91 | $291.0K | 36.8K | 25 |
| GA | $7.90 | $910.5K | 115.2K | 88 |
| RI | $7.90 | $71.4K | 9.0K | 3 |
| PA | $7.90 | $698.0K | 88.3K | 25 |
| TN | $7.90 | $515.1K | 65.2K | 74 |
| DE | $7.90 | $15.1K | 1.9K | 3 |
| MD | $7.90 | $564.7K | 71.5K | 39 |
| IL | $7.90 | $1.3M | 160.2K | 106 |
| CO | $7.90 | $374.4K | 47.4K | 13 |
| TX | $7.90 | $3.4M | 426.0K | 408 |
| NJ | $7.90 | $4.1M | 518.4K | 391 |
| AZ | $7.90 | $1.4M | 172.7K | 140 |
| OK | $7.90 | $385.1K | 48.8K | 19 |
| SD | $7.90 | $59.9K | 7.6K | 37 |
| OH | $7.90 | $1.4M | 181.3K | 62 |
| NC | $7.90 | $3.2M | 402.3K | 232 |
| LA | $7.90 | $238.2K | 30.2K | 69 |
| CA | $7.90 | $3.9M | 488.2K | 109 |
| ME | $7.90 | $31.3K | 4.0K | 33 |
| AR | $7.90 | $96.2K | 12.2K | 31 |
| VA | $7.90 | $674.4K | 85.4K | 226 |
| NE | $7.89 | $85.3K | 10.8K | 6 |
| HI | $7.89 | $140.1K | 17.7K | 2 |
| MI | $7.89 | $163.1K | 20.7K | 47 |
| IN | $7.89 | $172.0K | 21.8K | 41 |
| IA | $7.89 | $161.8K | 20.5K | 108 |
| UT | $7.89 | $102.7K | 13.0K | 71 |
| PR | $7.89 | $28.4K | 3.6K | 77 |
| KY | $7.88 | $180.2K | 22.9K | 72 |
| MS | $7.88 | $44.3K | 5.6K | 25 |
| ND | $7.88 | $52.5K | 6.7K | 13 |
| OR | $7.88 | $231.6K | 29.4K | 88 |
| WA | $7.88 | $631.4K | 80.1K | 202 |
| MN | $7.88 | $208.7K | 26.5K | 455 |
| AL | $7.87 | $1.1M | 137.1K | 82 |
| ID | $7.87 | $41.0K | 5.2K | 45 |
| CT | $7.87 | $32.2K | 4.1K | 25 |
| WV | $7.87 | $5.9K | 746 | 6 |
| WI | $7.85 | $333.0K | 42.4K | 55 |
| DC | $7.78 | $4.2K | 534 | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $2.1M | 261.2K | $7.90 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $1.7M | 209.0K | $7.90 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $1.3M | 169.4K | $7.91 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $1.1M | 144.7K | $7.91 |
| Unilab Corporation | Clinical Laboratory | CA | $1.0M | 132.2K | $7.91 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $915.5K | 116.3K | $7.87 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $800.9K | 101.4K | $7.90 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $793.2K | 100.3K | $7.91 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $721.1K | 91.7K | $7.86 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $700.4K | 88.6K | $7.91 |
| Clinical Pathology Laboratories, Inc. | Clinical Laboratory | TX | $698.9K | 88.4K | $7.91 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $674.0K | 85.4K | $7.90 |
| Laboratory Corporation Of America | Clinical Laboratory | TX | $663.6K | 84.0K | $7.90 |
| Labone Llc | Clinical Laboratory | KS | $609.0K | 77.0K | $7.91 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $589.3K | 74.5K | $7.91 |
| Pathgroup Labs, Llc | Clinical Laboratory | NC | $580.5K | 73.5K | $7.89 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $576.2K | 72.9K | $7.91 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $575.0K | 72.7K | $7.91 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $524.6K | 66.3K | $7.91 |
| Bioreference Health, Llc | Clinical Laboratory | NJ | $519.6K | 65.7K | $7.90 |
Based on the data, CPT 87086 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 26.3% since 2014. 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.