Cost analysis for CPT K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.5x more than the cheapest for this procedure. AE averages $11.76 vs VI at $8.09.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AE | $11.76 | $9.8M | 829.4K | 1 |
| ID | $11.74 | $28.0M | 2.4M | 120 |
| OK | $11.73 | $40.1M | 3.4M | 325 |
| AL | $11.73 | $50.2M | 4.3M | 460 |
| IL | $11.72 | $476.3M | 40.6M | 1.1K |
| TX | $11.72 | $293.4M | 25.0M | 2.5K |
| LA | $11.71 | $23.5M | 2.0M | 406 |
| NV | $11.70 | $27.4M | 2.3M | 234 |
| MS | $11.66 | $7.8M | 671.6K | 209 |
| IN | $11.66 | $35.5M | 3.0M | 646 |
| FL | $11.65 | $198.2M | 17.0M | 2.9K |
| CO | $11.64 | $28.9M | 2.5M | 419 |
| PR | $11.62 | $6.1M | 521.3K | 140 |
| MI | $11.60 | $70.2M | 6.0M | 1.1K |
| MT | $11.59 | $2.1M | 181.0K | 62 |
| AR | $11.58 | $5.0M | 435.8K | 290 |
| CA | $11.57 | $163.3M | 14.1M | 2.8K |
| NY | $11.57 | $108.7M | 9.4M | 1.8K |
| KY | $11.54 | $7.6M | 659.1K | 329 |
| GA | $11.53 | $17.7M | 1.5M | 911 |
| IA | $11.51 | $2.9M | 252.8K | 337 |
| OH | $11.45 | $26.1M | 2.3M | 1.1K |
| NJ | $11.43 | $34.4M | 3.0M | 1.0K |
| MO | $11.37 | $5.1M | 447.9K | 594 |
| ND | $11.35 | $48.0K | 4.2K | 8 |
| WI | $11.32 | $4.1M | 363.8K | 513 |
| AZ | $11.26 | $6.9M | 615.1K | 512 |
| TN | $11.24 | $6.0M | 538.1K | 685 |
| SD | $11.22 | $437.6K | 39.0K | 70 |
| NE | $11.21 | $893.4K | 79.7K | 156 |
| WY | $11.20 | $114.1K | 10.2K | 32 |
| MN | $11.15 | $4.4M | 391.8K | 457 |
| DC | $11.10 | $203.0K | 18.3K | 37 |
| PA | $11.10 | $29.9M | 2.7M | 1.6K |
| NC | $11.07 | $8.4M | 761.9K | 1.0K |
| SC | $11.05 | $4.9M | 447.2K | 548 |
| MD | $11.05 | $5.5M | 498.4K | 516 |
| NM | $11.01 | $1.0M | 91.5K | 140 |
| MA | $10.98 | $11.5M | 1.0M | 697 |
| KS | $10.92 | $1.4M | 130.2K | 280 |
| CT | $10.91 | $5.4M | 497.7K | 431 |
| RI | $10.90 | $2.1M | 190.0K | 110 |
| VA | $10.89 | $6.4M | 588.3K | 824 |
| HI | $10.87 | $3.0M | 271.9K | 101 |
| DE | $10.84 | $1.1M | 100.7K | 121 |
| WV | $10.73 | $851.2K | 79.3K | 146 |
| NH | $10.67 | $2.0M | 187.8K | 185 |
| ME | $10.63 | $1.0M | 94.8K | 104 |
| VT | $10.61 | $584.6K | 55.1K | 62 |
| UT | $10.59 | $505.7K | 47.7K | 135 |
| WA | $10.39 | $2.5M | 244.6K | 513 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Orchard Laboratories Corp | Clinical Laboratory | MI | $51.1M | 4.3M | $11.76 |
| Cipher Global Llc | Clinical Laboratory | IL | $45.0M | 3.8M | $11.76 |
| Chicago Care Lab Services Llc | Clinical Laboratory | IL | $33.4M | 2.8M | $11.76 |
| Medshield Labs Llc | Clinical Laboratory | TX | $31.5M | 2.7M | $11.76 |
| Luna Labs Llc | Clinical Laboratory | IL | $31.4M | 2.7M | $11.76 |
| All Family Pharmacy Llc | Pharmacy | FL | $30.5M | 2.6M | $11.76 |
| J's Pharmacy Llc | Pharmacy | AL | $28.8M | 2.4M | $11.76 |
| Sval | Clinical Laboratory | TX | $27.3M | 2.3M | $11.76 |
| Enigma Management Corp Dba Alliance Laboratory | Clinical Laboratory | NY | $27.2M | 2.3M | $11.76 |
| Lone Star Medlab Laboratory Llc | Clinical Laboratory | TX | $27.2M | 2.3M | $11.76 |
| Vra Enterprises, Llc | Pharmacy | FL | $26.6M | 2.3M | $11.76 |
| Tru Script Pharmacy Llc | Pharmacy | OK | $26.0M | 2.2M | $11.76 |
| Mars Lab Services Inc | Clinical Laboratory | IL | $25.8M | 2.2M | $11.76 |
| Dna Analytical Laboratory Lv Llc | Clinical Laboratory | NV | $24.9M | 2.1M | $11.76 |
| Ez Rx Boynton Beach Llc | Pharmacy | FL | $23.1M | 2.0M | $11.76 |
| S K Diagnostics Inc | Clinical Laboratory | IL | $21.4M | 1.8M | $11.76 |
| Us Spa Corp | Clinical Laboratory | IL | $20.4M | 1.7M | $11.76 |
| Ipseity Diagnostics Llc | Clinical Laboratory | TX | $19.1M | 1.6M | $11.76 |
| Western Labs Company | Clinical Laboratory | IL | $18.4M | 1.6M | $11.76 |
| Chicago Laboratory Consultant Llc | Clinical Laboratory | IL | $18.4M | 1.6M | $11.76 |
Based on the data, CPT K1034 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
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.