Cost analysis for CPT 87811 — Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
Average Medicare Payment
$39.89
2023 data
Total Payments (2023)
$30.4M
Services (2023)
756.1K
Price Change (2020–2023)
-3.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $41.25 | $115.8K | 2.8K | — |
| 2021 | $40.76 | $10.6M | 257.6K | -1.2% |
| 2022 | $40.23 | $24.4M | 603.6K | -1.3% |
| 2023 | $39.89 | $30.4M | 756.1K | -0.8% |
The most expensive state pays 1.2x more than the cheapest for this procedure. PR averages $40.55 vs ME at $33.53.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PR | $40.55 | $6.9K | 171 | 5 |
| WI | $40.55 | $227.7K | 5.6K | 29 |
| MT | $40.55 | $23.4K | 577 | 9 |
| NY | $40.54 | $8.8M | 216.1K | 610 |
| WA | $40.51 | $540.7K | 13.3K | 55 |
| IL | $40.48 | $1.8M | 45.0K | 369 |
| DE | $40.47 | $63.5K | 1.6K | 36 |
| NE | $40.45 | $65.5K | 1.6K | 52 |
| FL | $40.44 | $1.2M | 28.5K | 606 |
| MN | $40.43 | $13.8K | 342 | 12 |
| NM | $40.41 | $23.7K | 587 | 20 |
| IA | $40.40 | $84.5K | 2.1K | 54 |
| RI | $40.37 | $35.4K | 877 | 15 |
| CT | $40.37 | $279.8K | 6.9K | 174 |
| DC | $40.36 | $33.8K | 837 | 18 |
| NJ | $40.34 | $629.1K | 15.6K | 304 |
| NC | $40.32 | $805.8K | 20.0K | 440 |
| UT | $40.31 | $54.4K | 1.4K | 36 |
| MD | $40.31 | $845.4K | 21.0K | 257 |
| CA | $40.31 | $4.4M | 108.9K | 420 |
| VA | $40.29 | $301.9K | 7.5K | 239 |
| MA | $40.28 | $180.0K | 4.5K | 123 |
| PA | $40.27 | $643.7K | 16.0K | 516 |
| IN | $40.26 | $382.6K | 9.5K | 257 |
| VI | $40.25 | $4.1K | 103 | 3 |
| AR | $40.22 | $519.7K | 12.9K | 256 |
| CO | $40.20 | $162.5K | 4.0K | 152 |
| KS | $40.17 | $103.4K | 2.6K | 76 |
| NH | $40.13 | $46.6K | 1.2K | 37 |
| ID | $40.10 | $61.0K | 1.5K | 67 |
| TN | $40.10 | $1.2M | 30.3K | 759 |
| LA | $40.09 | $860.1K | 21.5K | 504 |
| SC | $40.08 | $662.5K | 16.5K | 273 |
| OK | $40.08 | $513.5K | 12.8K | 289 |
| AZ | $40.07 | $278.7K | 7.0K | 259 |
| AK | $40.03 | $12.7K | 318 | 11 |
| NV | $39.92 | $32.5K | 814 | 28 |
| HI | $39.91 | $10.4K | 260 | 6 |
| GA | $39.87 | $527.2K | 13.2K | 327 |
| MS | $39.86 | $478.8K | 12.0K | 236 |
| OH | $39.84 | $282.8K | 7.1K | 235 |
| MI | $39.79 | $272.2K | 6.8K | 164 |
| OR | $39.58 | $63.0K | 1.6K | 52 |
| TX | $39.49 | $1.4M | 34.6K | 824 |
| MO | $39.45 | $222.9K | 5.7K | 145 |
| GU | $39.44 | $9.6K | 244 | 10 |
| KY | $38.91 | $151.9K | 3.9K | 116 |
| WY | $38.90 | $19.6K | 504 | 17 |
| AL | $38.73 | $977.4K | 25.2K | 505 |
| WV | $37.92 | $175.1K | 4.6K | 110 |
| ME | $33.53 | $5.2K | 156 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Fast Lab Technologies Llc | Clinical Laboratory | NY | $7.0M | 173.6K | $40.55 |
| West Coast Medical Labs Inc | Clinical Laboratory | CA | $2.6M | 64.7K | $40.55 |
| Clarity Testing Services | Clinical Laboratory | IL | $764.3K | 18.8K | $40.55 |
| American Labworks Llc | Clinical Laboratory | WA | $489.6K | 12.1K | $40.55 |
| Predicine, Inc. | Clinical Laboratory | CA | $273.0K | 6.7K | $40.55 |
| Texas Medical Lab Llc | Clinical Laboratory | TX | $250.2K | 6.2K | $40.55 |
| Maurice Levy | Internal Medicine | CA | $194.1K | 4.8K | $40.55 |
| Nvira Genetics Llc | Clinical Laboratory | WI | $176.5K | 4.4K | $40.55 |
| Behdad Akbarpour | Internal Medicine | CA | $136.2K | 3.4K | $40.55 |
| Rapid Response Testing Llc | Clinical Laboratory | CA | $134.2K | 3.3K | $40.54 |
| Ylab180 Inc | Clinical Laboratory | IL | $116.4K | 2.9K | $40.55 |
| West Coast Bio Lab Llc | Clinical Laboratory | CA | $108.2K | 2.7K | $40.55 |
| Besure Testing Inc. | Clinical Laboratory | NC | $107.5K | 2.7K | $40.55 |
| Carecentrics Lab Llc | Clinical Laboratory | IL | $100.2K | 2.5K | $40.55 |
| Innovative Pharmaceutical Solutions Group | Clinical Laboratory | MI | $97.0K | 2.5K | $39.21 |
| M Holdings Llc | Mass Immunizer Roster Biller | SC | $94.4K | 2.3K | $40.55 |
| Clinomics Usa Inc | Clinical Laboratory | CA | $83.1K | 2.0K | $40.55 |
| Ezra Israel | Nephrology | NY | $82.2K | 2.0K | $40.49 |
| Michelle Mcmahon | Nurse Practitioner | MD | $77.3K | 1.9K | $40.55 |
| Barry Weinberg | Pulmonary Disease | NY | $75.6K | 1.9K | $40.55 |
Based on the data, CPT 87811 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 3.3% 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.