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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. 87801
  4. Cost Analysis

How Much Does Detection test by nucleic acid for multiple organisms, amplified probe(s) technique Cost on Medicare?

Cost analysis for CPT 87801 — Detection test by nucleic acid for multiple organisms, amplified probe(s) technique

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Average Medicare Payment

$68.01

2023 data

Total Payments (2023)

$37.0M

Services (2023)

543.5K

Price Change (2014–2023)

-25.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$91.11$977.1K10.5K—
2015$90.82$1.3M13.6K-0.3%
2016$89.92$1.4M15.4K-1.0%
2017$88.49$4.8M53.5K-1.6%
2018$83.65$9.3M110.5K-5.5%
2019$75.46$20.6M271.9K-9.8%
2020$69.13$41.2M592.0K-8.4%
2021$69.45$46.1M661.9K+0.5%
2022$69.01$36.2M524.2K-0.6%
2023$68.01$37.0M543.5K-1.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. WI averages $68.80 vs AL at $63.35.

StateAvg PaymentTotal PaymentsServicesProviders
WI$68.80$30.5K4446
RI$68.80$58.8K8556
UT$68.80$16.2K2362
TN$68.80$18.2K2641
MO$68.80$17.7K2581
DE$68.80$7.2K1051
LA$68.80$118.3K1.7K7
WA$68.77$78.0K1.1K2
VA$68.75$164.4K2.4K14
CA$68.75$1.5M21.8K30
MA$68.74$849.1K12.4K35
PA$68.73$786.9K11.4K26
AR$68.73$541.8K7.9K10
OK$68.73$3.1M45.3K21
IL$68.72$1.5M22.0K29
MD$68.71$833.7K12.1K24
FL$68.67$10.5M152.7K63
NM$68.64$77.7K1.1K5
NJ$68.63$1.6M23.6K23
IA$68.62$50.2K7328
NY$68.57$1.8M26.3K24
AZ$68.50$96.4K1.4K8
CO$68.47$1.9M27.8K24
MS$68.40$891.5K13.0K30
GA$68.24$25.1K3683
KS$68.18$71.0K1.0K6
WV$68.17$14.9K2182
MN$67.69$22.1K3277
NC$66.93$48.3K7214
NE$66.54$26.3K3965
TX$66.38$10.1M152.4K117
MI$63.43$34.9K5505
AL$63.35$9.1K1436

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Cap Diagnostics LlcClinical LaboratoryFL$3.7M53.1K$68.80
Altru Diagnostics, IncClinical LaboratoryTX$3.1M45.7K$68.79
Laboratory Of Florida LlcClinical LaboratoryFL$2.1M30.6K$68.80
Concord Life Sciences, LlcClinical LaboratoryTX$1.7M29.4K$57.20
Bakotic Pathology Associates, LlcClinical LaboratoryFL$1.6M22.6K$68.78
Rocky Mountain Laboratories LlcClinical LaboratoryCO$1.4M20.4K$68.76
Riem BadrPathologyNY$1.3M18.6K$68.62
Qitek Labs Of Oklahoma LlcClinical LaboratoryOK$1.2M17.9K$68.79
Wellness Health Group, LlcClinical LaboratoryOK$962.1K14.0K$68.79
Laboratory Corporation Of America HoldingsClinical LaboratoryNJ$642.9K9.4K$68.64
Samir ShirodkarUrologyTX$611.2K9.0K$68.26
Yousef TadrosPathologyIL$562.1K8.2K$68.80
Ajay KwatraUrologyTX$520.6K7.6K$68.16
Infinite Genomics LlcClinical LaboratoryAR$435.4K6.3K$68.78
Quest Diagnostics IncorporatedClinical LaboratoryNJ$410.4K6.0K$68.58
Sea Level Labs LlcClinical LaboratoryFL$403.0K5.9K$68.76
Advanced Biomedical, Inc.Clinical LaboratoryCA$403.0K5.9K$68.78
Wise Diagnostic Systems, LlcClinical LaboratoryTX$370.4K5.4K$68.58
Southwest Regional Pcr, LlcClinical LaboratoryTX$356.2K5.2K$68.65
Quest Diagnostics Massachusetts LlcClinical LaboratoryMA$334.2K4.9K$68.80

🤔 Is Detection test by nucleic acid for multiple organisms, amplified probe(s) technique Overpriced?

Based on the data, CPT 87801 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 25.4% 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.

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.