OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 87426
  4. Cost Analysis

How Much Does Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus Cost on Medicare?

Cost analysis for CPT 87426 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

Share:

Average Medicare Payment

$34.31

2023 data

Total Payments (2023)

$28.3M

Services (2023)

823.3K

Price Change (2020–2023)

-13.0%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$39.44$21.8M550.9K—
2021$39.06$66.5M1.7M-1.0%
2022$37.67$62.1M1.6M-3.6%
2023$34.31$28.3M823.3K-8.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. VT averages $34.62 vs HI at $33.49.

StateAvg PaymentTotal PaymentsServicesProviders
VT$34.62$21.4K61722
PR$34.60$158.7K4.6K107
NC$34.56$2.8M80.6K689
PA$34.54$551.0K16.0K403
CT$34.53$174.9K5.1K145
CO$34.52$69.0K2.0K75
NH$34.52$108.3K3.1K123
IL$34.52$870.2K25.2K359
NJ$34.50$1.7M48.7K833
NY$34.48$3.4M99.8K1.4K
ND$34.47$14.0K40616
WV$34.45$174.5K5.1K144
TX$34.45$2.5M72.3K1.9K
MO$34.44$169.1K4.9K192
FL$34.43$2.1M60.5K1.3K
WI$34.42$77.8K2.3K89
WY$34.41$45.9K1.3K37
DC$34.40$47.3K1.4K39
MA$34.40$364.9K10.6K307
IA$34.39$94.7K2.8K119
MT$34.39$29.4K85638
SD$34.38$14.9K43218
SC$34.37$594.5K17.3K409
ME$34.36$26.4K76840
MI$34.36$584.2K17.0K377
OH$34.35$406.9K11.8K455
MD$34.35$1.1M30.9K709
AR$34.34$464.6K13.5K342
DE$34.33$68.3K2.0K67
MN$34.33$20.3K59121
ID$34.33$10.8K31516
KS$34.32$139.5K4.1K164
IN$34.32$436.3K12.7K399
VA$34.32$1.1M33.5K885
CA$34.31$1.5M43.3K833
UT$34.28$24.5K71636
GA$34.28$1.3M39.2K798
NE$34.27$58.7K1.7K72
RI$34.26$87.6K2.6K58
TN$34.25$851.9K24.9K687
NM$34.23$195.2K5.7K101
NV$34.22$61.9K1.8K67
MS$34.19$907.4K26.5K567
AZ$34.18$257.4K7.5K289
OK$34.15$629.3K18.4K455
WA$34.13$119.5K3.5K120
LA$34.11$324.2K9.5K268
AL$34.07$672.0K19.7K426
AK$34.06$18.7K54920
OR$33.99$103.3K3.0K118
KY$33.94$671.8K19.8K573

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Alpha Diagnostics, LlcClinical LaboratoryNC$2.0M59.2K$34.62
Gentech Laboratories LlcClinical LaboratoryTX$405.7K11.7K$34.62
Rm Medical LlcClinical LaboratoryIL$256.4K7.4K$34.62
Hannan Lab IncClinical LaboratoryIL$222.4K6.4K$34.62
Mikhail PinkhasovInternal MedicineNY$189.7K5.5K$34.62
Medarbor LlcClinical LaboratoryPA$188.2K5.4K$34.62
David CarmiliPediatric MedicineNY$168.8K4.9K$34.62
Confucius Plaza Medical Laboratory CorpClinical LaboratoryNJ$131.0K3.8K$34.62
Altia LandisNurse PractitionerFL$107.4K3.1K$34.62
Gmi Laboratories LlcClinical LaboratoryCA$90.0K2.6K$34.62
Raymond BedgoodGastroenterologyGA$56.1K1.6K$34.37
Envision Healthcare Resources, LlcClinical LaboratoryGA$53.7K1.6K$34.62
Ryan PickellInternal MedicineIN$45.2K1.3K$34.62
Nobility Health, Inc.Clinical LaboratoryCA$42.1K1.2K$34.62
Wesley ThekEmergency MedicineNJ$41.5K1.2K$34.62
Watson Clinic LlpClinical LaboratoryFL$40.6K1.2K$34.46
Rakesh SoniFamily PracticeMI$39.8K1.2K$34.03
Rami GeorgiesFamily PracticeCA$36.9K1.1K$34.59
Victor FariwaInternal MedicineNY$36.8K1.1K$34.62
Laboratorio Clinico Borinquen, IncClinical LaboratoryPR$35.6K1.0K$34.62

🤔 Is Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus Overpriced?

Based on the data, CPT 87426 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 13% 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.