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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. 87811
  4. Cost Analysis

How Much Does Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) Cost on Medicare?

Cost analysis for CPT 87811 — Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)

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Average Medicare Payment

$39.89

2023 data

Total Payments (2023)

$30.4M

Services (2023)

756.1K

Price Change (2020–2023)

-3.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$41.25$115.8K2.8K—
2021$40.76$10.6M257.6K-1.2%
2022$40.23$24.4M603.6K-1.3%
2023$39.89$30.4M756.1K-0.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.2x more than the cheapest for this procedure. PR averages $40.55 vs ME at $33.53.

StateAvg PaymentTotal PaymentsServicesProviders
PR$40.55$6.9K1715
WI$40.55$227.7K5.6K29
MT$40.55$23.4K5779
NY$40.54$8.8M216.1K610
WA$40.51$540.7K13.3K55
IL$40.48$1.8M45.0K369
DE$40.47$63.5K1.6K36
NE$40.45$65.5K1.6K52
FL$40.44$1.2M28.5K606
MN$40.43$13.8K34212
NM$40.41$23.7K58720
IA$40.40$84.5K2.1K54
RI$40.37$35.4K87715
CT$40.37$279.8K6.9K174
DC$40.36$33.8K83718
NJ$40.34$629.1K15.6K304
NC$40.32$805.8K20.0K440
UT$40.31$54.4K1.4K36
MD$40.31$845.4K21.0K257
CA$40.31$4.4M108.9K420
VA$40.29$301.9K7.5K239
MA$40.28$180.0K4.5K123
PA$40.27$643.7K16.0K516
IN$40.26$382.6K9.5K257
VI$40.25$4.1K1033
AR$40.22$519.7K12.9K256
CO$40.20$162.5K4.0K152
KS$40.17$103.4K2.6K76
NH$40.13$46.6K1.2K37
ID$40.10$61.0K1.5K67
TN$40.10$1.2M30.3K759
LA$40.09$860.1K21.5K504
SC$40.08$662.5K16.5K273
OK$40.08$513.5K12.8K289
AZ$40.07$278.7K7.0K259
AK$40.03$12.7K31811
NV$39.92$32.5K81428
HI$39.91$10.4K2606
GA$39.87$527.2K13.2K327
MS$39.86$478.8K12.0K236
OH$39.84$282.8K7.1K235
MI$39.79$272.2K6.8K164
OR$39.58$63.0K1.6K52
TX$39.49$1.4M34.6K824
MO$39.45$222.9K5.7K145
GU$39.44$9.6K24410
KY$38.91$151.9K3.9K116
WY$38.90$19.6K50417
AL$38.73$977.4K25.2K505
WV$37.92$175.1K4.6K110
ME$33.53$5.2K1565

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Fast Lab Technologies LlcClinical LaboratoryNY$7.0M173.6K$40.55
West Coast Medical Labs IncClinical LaboratoryCA$2.6M64.7K$40.55
Clarity Testing ServicesClinical LaboratoryIL$764.3K18.8K$40.55
American Labworks LlcClinical LaboratoryWA$489.6K12.1K$40.55
Predicine, Inc.Clinical LaboratoryCA$273.0K6.7K$40.55
Texas Medical Lab LlcClinical LaboratoryTX$250.2K6.2K$40.55
Maurice LevyInternal MedicineCA$194.1K4.8K$40.55
Nvira Genetics LlcClinical LaboratoryWI$176.5K4.4K$40.55
Behdad AkbarpourInternal MedicineCA$136.2K3.4K$40.55
Rapid Response Testing LlcClinical LaboratoryCA$134.2K3.3K$40.54
Ylab180 IncClinical LaboratoryIL$116.4K2.9K$40.55
West Coast Bio Lab LlcClinical LaboratoryCA$108.2K2.7K$40.55
Besure Testing Inc.Clinical LaboratoryNC$107.5K2.7K$40.55
Carecentrics Lab LlcClinical LaboratoryIL$100.2K2.5K$40.55
Innovative Pharmaceutical Solutions GroupClinical LaboratoryMI$97.0K2.5K$39.21
M Holdings LlcMass Immunizer Roster BillerSC$94.4K2.3K$40.55
Clinomics Usa IncClinical LaboratoryCA$83.1K2.0K$40.55
Ezra IsraelNephrologyNY$82.2K2.0K$40.49
Michelle McmahonNurse PractitionerMD$77.3K1.9K$40.55
Barry WeinbergPulmonary DiseaseNY$75.6K1.9K$40.55

🤔 Is Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) Overpriced?

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.

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.