Cost analysis for CPT 87653 — Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique
Average Medicare Payment
$34.31
2023 data
Total Payments (2023)
$20.3M
Services (2023)
590.7K
Price Change (2014–2023)
-23.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $45.07 | $329.7K | 7.1K | — |
| 2015 | $44.73 | $338.0K | 7.3K | -0.8% |
| 2016 | $44.54 | $367.6K | 7.9K | -0.4% |
| 2017 | $44.10 | $1.0M | 22.1K | -1.0% |
| 2018 | $42.24 | $4.1M | 97.7K | -4.2% |
| 2019 | $37.94 | $7.4M | 195.2K | -10.2% |
| 2020 | $34.80 | $12.4M | 354.8K | -8.3% |
| 2021 | $35.00 | $14.3M | 406.6K | +0.6% |
| 2022 | $34.64 | $15.6M | 451.8K | -1.0% |
| 2023 | $34.31 | $20.3M | 590.7K | -1.0% |
The most expensive state pays 1.0x more than the cheapest for this procedure. OH averages $34.39 vs NM at $34.09.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| OH | $34.39 | $86.9K | 2.5K | 3 |
| UT | $34.39 | $64.9K | 1.9K | 2 |
| WA | $34.39 | $59.5K | 1.7K | 12 |
| MN | $34.39 | $19.3K | 561 | 1 |
| NV | $34.39 | $16.4K | 477 | 3 |
| GA | $34.39 | $12.4K | 360 | 4 |
| NE | $34.39 | $8.5K | 246 | 7 |
| WY | $34.39 | $4.8K | 141 | 4 |
| CA | $34.39 | $1.8M | 52.7K | 65 |
| PA | $34.39 | $2.8M | 81.8K | 16 |
| IN | $34.39 | $458.5K | 13.3K | 4 |
| AZ | $34.39 | $449.4K | 13.1K | 5 |
| LA | $34.38 | $344.3K | 10.0K | 14 |
| CO | $34.38 | $395.9K | 11.5K | 47 |
| NC | $34.38 | $76.6K | 2.2K | 3 |
| MI | $34.38 | $124.7K | 3.6K | 11 |
| VA | $34.38 | $371.8K | 10.8K | 24 |
| MD | $34.37 | $785.7K | 22.9K | 49 |
| FL | $34.37 | $2.2M | 64.5K | 72 |
| MA | $34.36 | $127.0K | 3.7K | 28 |
| NJ | $34.35 | $666.0K | 19.4K | 33 |
| MO | $34.35 | $97.6K | 2.8K | 8 |
| TX | $34.35 | $5.5M | 159.3K | 228 |
| IL | $34.34 | $845.8K | 24.6K | 56 |
| OK | $34.34 | $785.7K | 22.9K | 32 |
| KS | $34.32 | $58.4K | 1.7K | 6 |
| NY | $34.32 | $585.9K | 17.1K | 18 |
| MS | $34.32 | $571.6K | 16.7K | 42 |
| DE | $34.31 | $94.6K | 2.8K | 17 |
| AR | $34.30 | $754.4K | 22.0K | 33 |
| IA | $34.30 | $8.5K | 249 | 8 |
| TN | $34.29 | $75.0K | 2.2K | 15 |
| AL | $34.14 | $8.6K | 252 | 4 |
| NM | $34.09 | $14.5K | 426 | 8 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Healthtrackrx Indiana, Inc | Clinical Laboratory | TX | $1.6M | 46.3K | $34.33 |
| Silverpath, Inc. | Clinical Laboratory | PA | $1.5M | 44.6K | $34.39 |
| Cap Diagnostics Llc | Clinical Laboratory | FL | $820.8K | 23.9K | $34.37 |
| Altru Diagnostics, Inc | Clinical Laboratory | TX | $524.4K | 15.3K | $34.39 |
| Advanced Pathology Solutions, Pllc | Clinical Laboratory | AR | $448.3K | 13.1K | $34.28 |
| Patients Choice Laboratories Of Indiana, Llc | Clinical Laboratory | IN | $446.7K | 13.0K | $34.39 |
| Medarbor Llc | Clinical Laboratory | PA | $436.8K | 12.7K | $34.39 |
| Genetic Technological Innovations, Llc | Clinical Laboratory | AZ | $436.6K | 12.7K | $34.39 |
| Texas Molecular Diagnostics Laboratory | Clinical Laboratory | TX | $374.2K | 10.9K | $34.39 |
| Laboratory Of Florida Llc | Clinical Laboratory | FL | $348.3K | 10.1K | $34.39 |
| Concord Life Sciences, Llc | Clinical Laboratory | TX | $335.1K | 9.8K | $34.36 |
| Realtox Labs, Llc | Clinical Laboratory | MD | $271.9K | 7.9K | $34.39 |
| Cormeum Lab Services Llc | Clinical Laboratory | LA | $266.1K | 7.7K | $34.39 |
| Sma Medical, Inc. | Clinical Laboratory | PA | $260.5K | 7.6K | $34.39 |
| American Premier Labs | Clinical Laboratory | TX | $254.4K | 7.4K | $34.39 |
| Star Medical Laboratory Inc | Clinical Laboratory | CA | $242.8K | 7.1K | $34.39 |
| Cirrus Dx, Inc. | Clinical Laboratory | MD | $231.9K | 6.7K | $34.39 |
| Freedom Pathology Partners Llc | Clinical Laboratory | PA | $226.5K | 6.6K | $34.36 |
| Gmi Laboratories Llc | Clinical Laboratory | CA | $222.1K | 6.5K | $34.39 |
| Rocky Mountain Laboratories Llc | Clinical Laboratory | CO | $220.4K | 6.4K | $34.38 |
Based on the data, CPT 87653 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 23.9% 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.