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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. 87635
  4. Cost Analysis

How Much Does Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen Cost on Medicare?

Cost analysis for CPT 87635 — Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

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Average Medicare Payment

$49.88

2023 data

Total Payments (2023)

$46.7M

Services (2023)

931.7K

Price Change (2020–2023)

-1.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$50.79$21.1M416.7K—
2021$51.04$41.2M806.0K+0.5%
2022$50.35$44.4M879.8K-1.4%
2023$49.88$46.7M931.7K-0.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. ME averages $50.28 vs MS at $49.53.

StateAvg PaymentTotal PaymentsServicesProviders
ME$50.28$49.4K9834
NH$50.28$16.2K3227
VI$50.28$11.5K2296
AE$50.28$6.1K1222
CA$50.25$12.1M241.7K938
DE$50.24$61.9K1.2K17
IL$50.22$3.8M75.0K468
AZ$50.22$646.8K12.9K53
MD$50.21$595.5K11.9K129
NJ$50.21$3.8M75.0K259
NY$50.20$5.7M112.6K724
MA$50.19$711.2K14.2K268
DC$50.19$40.4K80617
PR$50.17$58.5K1.2K16
PA$50.16$1.1M22.5K331
FL$50.15$1.6M31.1K192
TX$50.15$2.2M44.4K415
CO$50.14$312.8K6.2K125
VT$50.13$15.0K30015
ID$50.12$79.7K1.6K55
UT$50.12$129.8K2.6K45
NV$50.10$52.9K1.1K17
MI$50.10$461.4K9.2K201
KS$50.08$282.3K5.6K155
MT$50.07$88.7K1.8K55
CT$50.07$416.5K8.3K255
VA$50.07$511.9K10.2K219
LA$50.07$521.0K10.4K215
WI$50.05$263.4K5.3K28
WY$50.03$17.9K35717
MO$50.03$670.5K13.4K232
OK$50.02$413.6K8.3K124
RI$50.01$26.3K52610
OH$50.00$634.2K12.7K327
IN$50.00$515.6K10.3K273
NC$50.00$1.9M37.9K587
NE$49.96$140.4K2.8K76
ND$49.95$10.5K2105
IA$49.94$235.7K4.7K127
OR$49.93$176.3K3.5K95
AK$49.89$61.4K1.2K36
SD$49.89$65.2K1.3K42
WA$49.86$369.2K7.4K229
MN$49.85$280.4K5.6K110
AL$49.85$809.3K16.2K311
TN$49.82$1.4M27.8K600
HI$49.82$181.0K3.6K38
WV$49.77$23.3K46824
AR$49.76$322.7K6.5K159
KY$49.72$320.7K6.5K155
GA$49.70$891.4K17.9K483

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Fast Lab Technologies LlcClinical LaboratoryNY$2.3M45.9K$50.28
Simple Laboratories LlcClinical LaboratoryIL$1.2M24.6K$50.26
Genentox Laboratories LlcClinical LaboratoryCA$983.5K19.6K$50.28
Prime Lab, Inc.Clinical LaboratoryCA$897.6K17.9K$50.28
Healthy Care Clinical Laboratory IncClinical LaboratoryCA$849.7K16.9K$50.28
Quest Diagnostics IncorporatedClinical LaboratoryNJ$808.8K16.1K$50.28
Laboratory Corporation Of America HoldingsClinical LaboratoryNC$769.3K15.3K$50.16
Shoreline Diagnostics LlcClinical LaboratoryCA$750.6K14.9K$50.28
Healthtrackrx Indiana, IncClinical LaboratoryTX$667.6K13.3K$50.17
Laboratory Corporation Of America HoldingsClinical LaboratoryNJ$667.3K13.3K$50.20
Q Answer Lab IncClinical LaboratoryNJ$644.5K12.8K$50.28
PacgenomicsClinical LaboratoryCA$581.3K11.6K$50.28
Pasteur IncClinical LaboratoryCA$446.1K8.9K$50.28
Biological Laboratory, Inc.Clinical LaboratoryCA$442.9K8.8K$50.28
Med Rush Clinical Lab IncClinical LaboratoryIL$434.6K8.6K$50.28
Cdr Laboratories IncClinical LaboratoryFL$378.5K7.5K$50.28
Acutis Diagnostics IncClinical LaboratoryNY$365.2K7.3K$50.26
Pathology Services Inc.Clinical LaboratoryCA$342.8K6.8K$50.28
Centers Lab Nj LlcClinical LaboratoryNJ$274.4K5.5K$50.27
Avellino Lab Usa, Inc.Clinical LaboratoryCA$272.0K5.4K$50.28

🤔 Is Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen Overpriced?

Based on the data, CPT 87635 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 1.8% 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.