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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. 87636
  4. Cost Analysis

How Much Does Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b Cost on Medicare?

Cost analysis for CPT 87636 — Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b

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Average Medicare Payment

$136.66

2023 data

Total Payments (2023)

$40.7M

Services (2023)

293.6K

Price Change (2020–2023)

-3.5%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$141.67$1.7M12.2K—
2021$140.44$11.1M78.2K-0.9%
2022$137.58$29.9M214.4K-2.0%
2023$136.66$40.7M293.6K-0.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. MT averages $139.78 vs AZ at $124.87.

StateAvg PaymentTotal PaymentsServicesProviders
MT$139.78$47.0K33617
RI$139.78$21.4K1533
SD$139.78$14.4K1036
DE$139.74$444.2K3.2K5
NJ$139.74$2.9M20.6K34
IL$139.73$5.8M41.2K115
NY$139.70$9.9M70.7K180
WI$139.67$86.9K6227
WY$139.62$62.5K4486
CA$139.59$6.1M44.0K87
OK$139.53$97.5K69913
ME$139.46$52.4K3762
NV$139.43$52.4K3761
HI$139.40$39.5K2834
MO$139.39$173.3K1.2K20
OR$139.35$27.9K2005
MA$139.08$565.8K4.1K102
MN$139.08$54.8K3948
WV$138.86$114.0K8216
AR$138.82$269.4K1.9K57
CO$138.74$206.2K1.5K63
LA$138.65$297.3K2.1K55
IN$138.63$108.1K78024
CT$138.57$290.3K2.1K62
MS$138.44$551.7K4.0K98
PA$138.39$418.6K3.0K21
MI$137.71$411.8K3.0K56
KY$137.68$1.1M8.1K196
NM$137.43$37.4K2729
NC$137.40$640.3K4.7K89
SC$137.25$590.8K4.3K68
TN$137.08$1.3M9.8K223
TX$137.01$5.0M36.6K161
OH$136.64$428.1K3.1K38
KS$136.63$60.4K44212
ID$136.50$16.2K1195
NH$135.92$24.6K1813
FL$135.74$493.4K3.6K49
IA$135.24$124.3K9197
VA$134.46$190.1K1.4K29
GA$134.37$189.2K1.4K24
WA$134.06$578.5K4.3K103
AL$133.85$160.5K1.2K37
MD$130.44$259.8K2.0K43
UT$127.34$71.9K5658
AZ$124.87$262.8K2.1K22

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
AmedixClinical LaboratoryNY$8.2M58.3K$139.78
Gentech Laboratories LlcClinical LaboratoryTX$2.7M20.0K$135.37
Advanced Molecular Diagnostics, LlcClinical LaboratoryNJ$2.1M14.9K$139.78
Clinical Laboratory IncClinical LaboratoryIL$2.0M14.0K$139.78
Gene By Gene LtdClinical LaboratoryTX$1.6M11.1K$139.78
Brio Clinical IncClinical LaboratoryCA$1.4M10.3K$139.71
Advanced Diagnostic Solutions IncClinical LaboratoryIL$807.2K5.8K$139.78
Hannan Lab IncClinical LaboratoryIL$742.4K5.3K$139.78
Arbor Vita CorporationClinical LaboratoryCA$633.1K4.5K$139.78
Mmm Diagnostic Center IncClinical LaboratoryIL$629.7K4.5K$139.78
Sherman Abrams Laboratory IncClinical LaboratoryNY$605.5K4.3K$139.78
Strategic Concepts Lab LlcClinical LaboratoryCA$506.7K3.6K$139.78
Delaware Diagnostic Labs, LlcClinical LaboratoryDE$409.0K2.9K$139.78
Us Medical Labs IncClinical LaboratoryIL$367.9K2.6K$139.78
Medical Assay LaboratoryClinical LaboratoryIL$334.9K2.4K$139.78
Diagnostic Laboratory Science, IncClinical LaboratoryCA$311.3K2.2K$139.78
Genentox Laboratories LlcClinical LaboratoryCA$295.2K2.1K$139.65
Newport Labs IncClinical LaboratoryCA$265.2K1.9K$139.78
Min WuFamily PracticeCA$249.2K1.8K$139.78
Quest Diagnostics IncorporatedClinical LaboratoryNJ$248.6K1.8K$139.74

🤔 Is Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b Overpriced?

Based on the data, CPT 87636 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 3.5% 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.