Cost analysis for CPT 87913 — Genotype analysis of severe acute respiratory syndrome coronavirus 2 (covid-19) by nucleic acid for identification of mutations in targeted regions
Average Medicare Payment
$233.82
2023 data
Total Payments (2023)
$28.9M
Services (2023)
114.7K
Price Change (2022–2023)
+304.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $57.82 | $2.1K | 37 | — |
| 2023 | $233.82 | $28.9M | 114.7K | +304.4% |
The most expensive state pays 1.0x more than the cheapest for this procedure. TX averages $252.30 vs IL at $252.16.
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Biox Labs Inc | Clinical Laboratory | CA | $10.6M | 41.9K | $252.30 |
| Rt Pcr Test Near Me Inc | Clinical Laboratory | IL | $5.1M | 20.4K | $252.30 |
| Mdx Diagnostics Laboratory | Clinical Laboratory | TX | $3.6M | 14.3K | $252.30 |
| Biodx Labs | Clinical Laboratory | TX | $3.3M | 13.1K | $252.30 |
| Gene Street, Llc. | Clinical Laboratory | TX | $2.6M | 10.3K | $252.30 |
| Topblood Llc | Clinical Laboratory | TX | $2.0M | 8.1K | $252.30 |
| Lifeline Biosciences Llc | Clinical Laboratory | IL | $1.7M | 6.6K | $252.30 |
| Todd Nguyen | Internal Medicine | TX | $17.4K | 69 | $252.30 |
| Lone Star Tox Screen | Clinical Laboratory | TX | $6.3K | 25 | $252.30 |
| Baha Laboratories Llc | Clinical Laboratory | IL | $3.0K | 12 | $252.30 |
| Charles Brikha | Internal Medicine | IL | $882.00 | 18 | $49.00 |
Based on the data, CPT 87913 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 304.4% since 2022. 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.