Cost analysis for CPT 88360 — Microscopic genetic analysis of tumor, manual
Average Medicare Payment
$37.57
2023 data
Total Payments (2023)
$31.1M
Services (2023)
641.7K
Price Change (2014–2023)
-21.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $47.88 | $18.1M | 296.9K | — |
| 2015 | $48.38 | $18.4M | 309.3K | +1.0% |
| 2016 | $48.29 | $20.1M | 362.0K | -0.2% |
| 2017 | $49.84 | $25.4M | 422.9K | +3.2% |
| 2018 | $42.10 | $24.5M | 466.2K | -15.5% |
| 2019 | $40.07 | $26.1M | 518.7K | -4.8% |
| 2020 | $40.47 | $25.8M | 508.3K | +1.0% |
| 2021 | $39.01 | $28.6M | 579.9K | -3.6% |
| 2022 | $37.86 | $29.3M | 603.5K | -2.9% |
| 2023 | $37.57 | $31.1M | 641.7K | -0.8% |
The most expensive state pays 2.2x more than the cheapest for this procedure. AZ averages $67.57 vs VT at $31.31.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AZ | $67.57 | $6.6M | 98.2K | 115 |
| CA | $57.04 | $5.5M | 96.6K | 586 |
| IL | $56.20 | $2.0M | 35.6K | 260 |
| NV | $54.97 | $116.1K | 2.1K | 22 |
| NJ | $54.70 | $895.8K | 16.4K | 128 |
| AR | $53.95 | $145.0K | 2.7K | 36 |
| NM | $51.48 | $125.0K | 2.4K | 25 |
| MD | $48.34 | $502.2K | 10.4K | 89 |
| UT | $47.98 | $133.3K | 2.8K | 40 |
| NY | $47.36 | $2.2M | 45.9K | 422 |
| FL | $45.57 | $1.8M | 39.2K | 297 |
| MA | $44.97 | $1.3M | 29.3K | 258 |
| CT | $44.44 | $334.5K | 7.5K | 98 |
| HI | $44.27 | $53.3K | 1.2K | 16 |
| AK | $44.18 | $36.1K | 816 | 9 |
| IA | $43.35 | $235.6K | 5.4K | 65 |
| TN | $43.22 | $548.4K | 12.7K | 136 |
| WA | $43.12 | $594.1K | 13.8K | 127 |
| OR | $42.57 | $216.8K | 5.1K | 60 |
| TX | $42.05 | $1.8M | 41.7K | 374 |
| MN | $41.17 | $275.9K | 6.7K | 105 |
| NE | $40.57 | $109.1K | 2.7K | 39 |
| AL | $38.34 | $136.0K | 3.5K | 42 |
| KS | $37.62 | $157.1K | 4.2K | 49 |
| NC | $37.55 | $440.6K | 11.7K | 126 |
| CO | $37.01 | $315.1K | 8.5K | 89 |
| SC | $36.07 | $190.7K | 5.3K | 67 |
| GA | $35.64 | $222.3K | 6.2K | 91 |
| VA | $35.37 | $457.8K | 12.9K | 122 |
| DC | $35.23 | $65.4K | 1.9K | 23 |
| NH | $35.06 | $88.4K | 2.5K | 34 |
| MS | $34.91 | $68.2K | 2.0K | 24 |
| MI | $34.18 | $344.2K | 10.1K | 151 |
| DE | $33.71 | $84.1K | 2.5K | 22 |
| WI | $33.70 | $314.2K | 9.3K | 139 |
| KY | $33.54 | $226.6K | 6.8K | 70 |
| RI | $33.42 | $45.5K | 1.4K | 20 |
| PA | $33.32 | $713.6K | 21.4K | 282 |
| MT | $33.06 | $83.7K | 2.5K | 19 |
| ND | $32.92 | $58.3K | 1.8K | 25 |
| OK | $32.90 | $167.2K | 5.1K | 45 |
| IN | $32.83 | $260.8K | 7.9K | 109 |
| LA | $32.73 | $77.7K | 2.4K | 38 |
| OH | $32.65 | $534.2K | 16.4K | 231 |
| MO | $32.64 | $283.1K | 8.7K | 112 |
| ID | $32.52 | $47.1K | 1.4K | 15 |
| WV | $32.24 | $31.4K | 975 | 24 |
| SD | $31.72 | $56.2K | 1.8K | 14 |
| ME | $31.69 | $72.3K | 2.3K | 26 |
| VT | $31.31 | $32.1K | 1.0K | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Caris Mpi, Inc. | Clinical Laboratory | AZ | $5.7M | 80.5K | $71.39 |
| Tempus Ai, Inc. | Clinical Laboratory | IL | $1.2M | 12.7K | $94.30 |
| Neogenomics Laboratories Inc | Clinical Laboratory | CA | $759.3K | 12.0K | $63.20 |
| Foundation Medicine, Inc. | Clinical Laboratory | MA | $550.6K | 8.2K | $67.03 |
| Mark Tran | Dermatology | CA | $445.6K | 4.1K | $109.54 |
| Catherine Lee | Dermatology | CA | $409.7K | 3.8K | $108.48 |
| Inform Diagnostics, Inc | Clinical Laboratory | TX | $293.8K | 4.3K | $69.05 |
| Pathologists Bio-Medical Laboratories Pllc | Clinical Laboratory | TX | $229.5K | 4.1K | $55.93 |
| Neogenomics Laboratories Inc | Clinical Laboratory | FL | $210.8K | 5.4K | $38.79 |
| Guardant Health, Inc. | Clinical Laboratory | CA | $190.9K | 1.7K | $114.52 |
| Cblpath, Inc | Clinical Laboratory | NY | $182.2K | 1.7K | $108.78 |
| Thousand Oaks Pathology Associates Inc | Clinical Laboratory | CA | $180.2K | 1.7K | $104.06 |
| Raul Rudelli | Pathology | NJ | $171.1K | 1.5K | $111.23 |
| Cap Diagnostics Llc | Clinical Laboratory | CA | $169.6K | 2.3K | $73.44 |
| Acupath Laboratories, Inc. | Clinical Laboratory | NY | $160.8K | 1.7K | $96.00 |
| Sepi Mahooti | Pathology | CA | $137.3K | 1.3K | $104.57 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $127.6K | 1.2K | $109.50 |
| Ameripath Florida Llc | Clinical Laboratory | FL | $124.6K | 2.0K | $62.03 |
| Naples Pathology Associates Pa | Clinical Laboratory | FL | $123.7K | 1.3K | $93.29 |
| Johns Hopkins University | Clinical Laboratory | MD | $99.0K | 1.0K | $97.81 |
The data suggests significant pricing inconsistencies for CPT 88360. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 21.5% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional 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.