Cost analysis for CPT 87637 — Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
Average Medicare Payment
$138.55
2023 data
Total Payments (2023)
$80.7M
Services (2023)
577.6K
Price Change (2020–2023)
+0.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $137.95 | $219.6K | 1.6K | — |
| 2021 | $141.71 | $4.1M | 28.9K | +2.7% |
| 2022 | $139.35 | $12.1M | 86.5K | -1.7% |
| 2023 | $138.55 | $80.7M | 577.6K | -0.6% |
The most expensive state pays 1.1x more than the cheapest for this procedure. CO averages $139.78 vs AL at $131.59.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CO | $139.78 | $49.3K | 353 | 11 |
| MS | $139.78 | $32.4K | 232 | 3 |
| IA | $139.78 | $31.9K | 228 | 10 |
| CT | $139.78 | $67.2K | 481 | 14 |
| IL | $139.77 | $30.1M | 215.3K | 54 |
| CA | $139.75 | $11.5M | 82.0K | 185 |
| TX | $139.73 | $27.9M | 199.6K | 69 |
| PA | $139.73 | $192.5K | 1.4K | 9 |
| AZ | $139.68 | $855.1K | 6.1K | 40 |
| NJ | $139.66 | $1.1M | 7.9K | 25 |
| OK | $139.63 | $399.4K | 2.9K | 13 |
| MI | $139.61 | $414.8K | 3.0K | 18 |
| LA | $139.57 | $265.3K | 1.9K | 30 |
| WI | $139.57 | $290.2K | 2.1K | 23 |
| TN | $139.44 | $161.1K | 1.2K | 6 |
| DE | $139.43 | $116.0K | 832 | 2 |
| NY | $139.43 | $2.1M | 14.9K | 66 |
| RI | $139.38 | $41.4K | 297 | 2 |
| KS | $139.35 | $74.8K | 537 | 17 |
| WA | $139.31 | $34.0K | 244 | 12 |
| KY | $139.17 | $85.2K | 612 | 18 |
| NC | $139.16 | $968.4K | 7.0K | 73 |
| OR | $139.11 | $42.7K | 307 | 5 |
| AR | $139.10 | $125.6K | 903 | 25 |
| VA | $139.00 | $164.9K | 1.2K | 30 |
| WV | $138.94 | $113.2K | 815 | 19 |
| MO | $138.83 | $117.9K | 849 | 25 |
| MA | $138.72 | $91.3K | 658 | 25 |
| IN | $138.54 | $507.2K | 3.7K | 92 |
| FL | $138.47 | $416.8K | 3.0K | 25 |
| GA | $138.40 | $137.0K | 990 | 18 |
| OH | $137.93 | $545.2K | 4.0K | 12 |
| SC | $137.66 | $965.7K | 7.0K | 103 |
| MD | $137.45 | $592.4K | 4.3K | 15 |
| MN | $134.70 | $14.8K | 110 | 3 |
| AL | $131.59 | $48.4K | 368 | 17 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Maxcare Diagnostics | Clinical Laboratory | TX | $13.6M | 97.6K | $139.78 |
| Biodx Labs | Clinical Laboratory | TX | $11.8M | 84.5K | $139.78 |
| Rainbow Lab Inc | Clinical Laboratory | IL | $11.1M | 79.1K | $139.78 |
| Rt Pcr Test Near Me Inc | Clinical Laboratory | IL | $7.6M | 54.3K | $139.78 |
| Safeena Enterprises Inc | Clinical Laboratory | IL | $6.3M | 45.2K | $139.78 |
| Chrome Residential, Llc | Clinical Laboratory | CA | $3.1M | 22.0K | $139.78 |
| Path Md, Inc. | Clinical Laboratory | CA | $3.0M | 21.6K | $139.78 |
| Sh Diagnostics Inc | Clinical Laboratory | IL | $2.8M | 19.8K | $139.78 |
| Texas Medical Lab Llc | Clinical Laboratory | TX | $1.7M | 12.0K | $139.77 |
| Yousef Tadros | Pathology | IL | $1.6M | 11.1K | $139.78 |
| Vladimir Skorokhod | Emergency Medicine | CA | $993.4K | 7.1K | $139.77 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $847.1K | 6.1K | $139.70 |
| Golden Star Labs Llc | Clinical Laboratory | CA | $814.5K | 5.8K | $139.78 |
| Pathology Services Inc. | Clinical Laboratory | CA | $604.3K | 4.3K | $139.78 |
| Sherman Abrams Laboratory Inc | Clinical Laboratory | NY | $570.2K | 4.1K | $139.78 |
| Hermes Health Labs | Clinical Laboratory | AZ | $494.3K | 3.5K | $139.78 |
| Lenco Diagnostic Laboratories,inc. | Clinical Laboratory | NY | $483.4K | 3.5K | $139.78 |
| 911 Labs Inc | Clinical Laboratory | CA | $460.9K | 3.3K | $139.78 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $440.3K | 3.2K | $139.55 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $318.9K | 2.3K | $139.58 |
Based on the data, CPT 87637 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 0.4% 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.