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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. 87913
  4. Cost Analysis

How Much Does Genotype analysis of severe acute respiratory syndrome coronavirus 2 (covid-19) by nucleic acid for identification of mutations in targeted regions Cost on Medicare?

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

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Average Medicare Payment

$233.82

2023 data

Total Payments (2023)

$28.9M

Services (2023)

114.7K

Price Change (2022–2023)

+304.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2022$57.82$2.1K37—
2023$233.82$28.9M114.7K+304.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. TX averages $252.30 vs IL at $252.16.

StateAvg PaymentTotal PaymentsServicesProviders
TX$252.30$11.6M45.8K6
CA$252.30$10.6M41.9K1
IL$252.16$6.8M27.0K4

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Biox Labs IncClinical LaboratoryCA$10.6M41.9K$252.30
Rt Pcr Test Near Me IncClinical LaboratoryIL$5.1M20.4K$252.30
Mdx Diagnostics LaboratoryClinical LaboratoryTX$3.6M14.3K$252.30
Biodx LabsClinical LaboratoryTX$3.3M13.1K$252.30
Gene Street, Llc.Clinical LaboratoryTX$2.6M10.3K$252.30
Topblood LlcClinical LaboratoryTX$2.0M8.1K$252.30
Lifeline Biosciences LlcClinical LaboratoryIL$1.7M6.6K$252.30
Todd NguyenInternal MedicineTX$17.4K69$252.30
Lone Star Tox ScreenClinical LaboratoryTX$6.3K25$252.30
Baha Laboratories LlcClinical LaboratoryIL$3.0K12$252.30
Charles BrikhaInternal MedicineIL$882.0018$49.00

🤔 Is Genotype analysis of severe acute respiratory syndrome coronavirus 2 (covid-19) by nucleic acid for identification of mutations in targeted regions Overpriced?

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.

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.