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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. 87481
  4. Cost Analysis

How Much Does Detection test for candida species (yeast), amplified probe technique Cost on Medicare?

Cost analysis for CPT 87481 — Detection test for candida species (yeast), amplified probe technique

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Average Medicare Payment

$34.22

2023 data

Total Payments (2023)

$67.5M

Services (2023)

2.0M

Price Change (2014–2023)

-22.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$44.01$4.6M107.5K—
2015$43.60$5.9M147.2K-0.9%
2016$43.95$7.5M191.2K+0.8%
2017$43.30$5.8M151.2K-1.5%
2018$41.99$8.0M189.3K-3.0%
2019$37.89$16.4M431.0K-9.8%
2020$34.69$22.5M646.3K-8.4%
2021$34.94$37.0M1.1M+0.7%
2022$34.53$49.0M1.4M-1.2%
2023$34.22$67.5M2.0M-0.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. NH averages $34.39 vs IN at $22.89.

StateAvg PaymentTotal PaymentsServicesProviders
NH$34.39$5.8K1681
WY$34.39$4.9K1434
NV$34.39$29.5K8593
UT$34.39$138.3K4.0K2
SC$34.39$6.8K1995
NE$34.39$47.3K1.4K9
LA$34.39$1.7M48.2K20
VA$34.39$1.3M37.8K22
PA$34.38$10.9M317.3K19
OH$34.38$432.8K12.6K6
AZ$34.38$517.8K15.1K11
MI$34.37$381.0K11.1K14
CO$34.37$1.3M37.1K51
OK$34.37$2.5M73.6K36
MD$34.37$2.7M79.3K56
NC$34.37$246.5K7.2K6
TX$34.36$18.6M540.5K270
KS$34.36$158.7K4.6K11
MA$34.35$283.5K8.3K31
AR$34.34$1.3M36.6K32
MN$34.34$100.6K2.9K8
WA$34.33$257.4K7.5K17
NY$34.33$2.0M58.3K44
MS$34.32$2.4M69.9K39
DE$34.32$107.3K3.1K19
FL$34.31$5.7M167.6K79
TN$34.28$247.4K7.2K10
KY$34.28$58.1K1.7K6
NM$34.27$70.9K2.1K10
IL$34.27$2.8M82.8K60
CA$34.27$7.0M203.6K96
WI$34.23$96.9K2.8K4
GA$34.17$30.9K9049
ME$34.16$4.0K1171
CT$34.10$22.3K6555
IA$34.09$27.5K8068
OR$34.08$58.6K1.7K5
NJ$33.94$3.1M90.6K51
AL$33.79$84.4K2.5K14
MO$31.61$194.1K6.1K9
IN$22.89$599.8K26.2K8

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Silverpath, Inc.Clinical LaboratoryPA$6.1M176.5K$34.39
Healthtrackrx Indiana, IncClinical LaboratoryTX$3.5M101.3K$34.34
Cap Diagnostics LlcClinical LaboratoryFL$2.5M72.5K$34.37
Medarbor LlcClinical LaboratoryPA$2.3M65.8K$34.39
Yellowstone Labs, LlcClinical LaboratoryTX$1.7M48.1K$34.39
Medical Diagnostic Laboratories,llcClinical LaboratoryNJ$1.3M38.5K$34.34
Texas Molecular Diagnostics LaboratoryClinical LaboratoryTX$1.1M33.2K$34.39
Gmi Laboratories LlcClinical LaboratoryCA$1.1M32.3K$34.39
Cormeum Lab Services LlcClinical LaboratoryLA$1.1M31.9K$34.39
Riem BadrPathologyNY$1.1M31.7K$34.31
Realtox Labs, LlcClinical LaboratoryMD$1.0M30.5K$34.39
Star Medical Laboratory IncClinical LaboratoryCA$1.0M30.4K$34.39
Qitek Labs Of Oklahoma LlcClinical LaboratoryOK$1.0M30.3K$34.39
Proteus Genomics, LlcClinical LaboratoryMS$1.0M30.2K$34.39
Freedom Pathology Partners LlcClinical LaboratoryPA$969.1K28.2K$34.36
Texas Diagnostic Laboratories LlcClinical LaboratoryTX$916.1K26.6K$34.39
Coronado Labs LlcClinical LaboratoryTX$845.0K24.6K$34.39
American Premier LabsClinical LaboratoryTX$802.5K23.3K$34.39
Laboratory Of Florida LlcClinical LaboratoryFL$728.8K21.2K$34.39
Sma Medical, Inc.Clinical LaboratoryPA$714.0K20.8K$34.36

🤔 Is Detection test for candida species (yeast), amplified probe technique Overpriced?

Based on the data, CPT 87481 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 22.2% 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.

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.