Cost analysis for CPT 87798 — Detection test by nucleic acid for organism, amplified probe technique
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.0x more than the cheapest for this procedure. HI averages $34.39 vs MO at $33.49.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| HI | $34.39 | $4.1K | 118 | 2 |
| SC | $34.39 | $29.9K | 869 | 5 |
| RI | $34.39 | $70.2K | 2.0K | 6 |
| WY | $34.39 | $63.5K | 1.8K | 4 |
| UT | $34.39 | $907.8K | 26.4K | 4 |
| ID | $34.39 | $9.4K | 272 | 2 |
| DC | $34.39 | $48.2K | 1.4K | 1 |
| NV | $34.39 | $247.1K | 7.2K | 7 |
| IN | $34.39 | $6.2M | 181.7K | 8 |
| LA | $34.38 | $8.1M | 235.7K | 23 |
| PA | $34.38 | $40.8M | 1.2M | 37 |
| AZ | $34.38 | $5.5M | 160.9K | 10 |
| MI | $34.38 | $1.7M | 50.1K | 16 |
| CO | $34.38 | $6.1M | 176.7K | 54 |
| VA | $34.38 | $5.1M | 148.2K | 32 |
| CA | $34.38 | $37.2M | 1.1M | 110 |
| OH | $34.38 | $1.2M | 33.8K | 9 |
| KS | $34.37 | $811.3K | 23.6K | 14 |
| GA | $34.37 | $437.6K | 12.7K | 9 |
| NC | $34.37 | $228.6K | 6.7K | 6 |
| NJ | $34.36 | $11.4M | 330.9K | 40 |
| WI | $34.36 | $452.6K | 13.2K | 11 |
| MD | $34.36 | $10.7M | 312.2K | 63 |
| TX | $34.36 | $80.1M | 2.3M | 302 |
| OK | $34.35 | $7.5M | 219.7K | 40 |
| MA | $34.35 | $3.1M | 89.8K | 50 |
| IL | $34.35 | $11.9M | 346.1K | 69 |
| TN | $34.35 | $344.5K | 10.0K | 17 |
| WA | $34.33 | $627.6K | 18.3K | 20 |
| NY | $34.33 | $8.7M | 254.4K | 40 |
| DE | $34.33 | $1.1M | 33.0K | 19 |
| AR | $34.32 | $4.3M | 126.3K | 33 |
| FL | $34.31 | $22.9M | 668.8K | 105 |
| NE | $34.30 | $145.3K | 4.2K | 14 |
| IA | $34.28 | $115.6K | 3.4K | 11 |
| CT | $34.25 | $12.1K | 354 | 3 |
| NM | $34.24 | $376.1K | 11.0K | 11 |
| MS | $34.22 | $7.5M | 220.2K | 52 |
| OR | $34.18 | $64.2K | 1.9K | 13 |
| KY | $34.17 | $21.1K | 618 | 6 |
| MN | $34.12 | $306.5K | 9.0K | 7 |
| ND | $33.94 | $8.7K | 257 | 2 |
| ME | $33.63 | $3.9K | 115 | 2 |
| AL | $33.51 | $75.8K | 2.3K | 13 |
| MO | $33.49 | $2.0M | 58.8K | 14 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Silverpath, Inc. | Clinical Laboratory | PA | $23.6M | 684.9K | $34.39 |
| Yellowstone Labs, Llc | Clinical Laboratory | TX | $14.4M | 419.8K | $34.39 |
| Cap Diagnostics Llc | Clinical Laboratory | FL | $10.7M | 310.0K | $34.37 |
| Altru Diagnostics, Inc | Clinical Laboratory | TX | $6.4M | 187.2K | $34.38 |
| Patients Choice Laboratories Of Indiana, Llc | Clinical Laboratory | IN | $6.0M | 175.3K | $34.39 |
| Genetic Technological Innovations, Llc | Clinical Laboratory | AZ | $5.4M | 155.7K | $34.39 |
| Medarbor Llc | Clinical Laboratory | PA | $5.3M | 153.3K | $34.39 |
| Texas Molecular Diagnostics Laboratory | Clinical Laboratory | TX | $4.3M | 125.8K | $34.39 |
| Healthtrackrx Indiana, Inc | Clinical Laboratory | TX | $4.1M | 119.8K | $34.17 |
| Global Diagnostic Lab Inc | Clinical Laboratory | CA | $3.9M | 114.3K | $34.39 |
| Tdm Laboratories Of Katy, Llc | Clinical Laboratory | TX | $3.8M | 111.7K | $34.39 |
| Concord Life Sciences, Llc | Clinical Laboratory | TX | $3.6M | 105.5K | $34.35 |
| Realtox Labs, Llc | Clinical Laboratory | MD | $3.5M | 102.3K | $34.39 |
| Cormeum Lab Services Llc | Clinical Laboratory | LA | $3.5M | 102.0K | $34.39 |
| Rocky Mountain Laboratories Llc | Clinical Laboratory | CO | $3.2M | 94.2K | $34.38 |
| Star Medical Laboratory Inc | Clinical Laboratory | CA | $3.2M | 92.8K | $34.39 |
| Sma Medical, Inc. | Clinical Laboratory | PA | $3.2M | 91.9K | $34.39 |
| Gmi Laboratories Llc | Clinical Laboratory | CA | $3.2M | 91.6K | $34.39 |
| Victoria Healthcare Resources | Clinical Laboratory | LA | $3.0M | 87.7K | $34.39 |
| Cirrus Dx, Inc. | Clinical Laboratory | MD | $3.0M | 87.6K | $34.39 |
Based on the data, CPT 87798 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
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.