87811
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read is the #385 most-billed Medicaid procedure code, with $286.5M in payments across 10.9M claims from 2018–2024. The national median cost per claim is $30.53.
Total Paid
$286.5M
0.03% of all spending
Total Claims
10.9M
Providers
6K
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 87811? Based on 6K providers billing this code nationally.
Median
$30.53
Average
$27.41
Std Dev
$17.25
Max
$737.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.87 and $37.24 per claim for this code.
90% bill between $5.34 and $40.75.
Top 1% bill above $46.97.
About This Procedure
HCPCS code 87811 (SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read) was billed by 6K providers across 10.9M claims, totaling $286.5M in Medicaid payments from 2018–2024. This code was used for 8.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.53
Providers Billing
6K
National Spending
$286.5M
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87811
| # | Provider | Total Paid |
|---|---|---|
| 1 | Fast Pace Medical Clinic Pllc Spring Hill, TN · Family Medicine | $9.5M |
| 2 | Mnr Industries Llc Bel Air, MD · Clinic/Center Urgent Care | $5.7M |
| 3 | 1487271300 | $5.6M |
| 4 | 1982903951 | $3.7M |
| 5 | 1154089241 | $3.6M |
| 6 | 1407581036 | $3.1M |
| 7 | 1326364100 | $3.0M |
| 8 | 1629502810 | $2.5M |
| 9 | 1932586476 | $2.4M |
| 10 | 1457579617 | $2.4M |
| 11 | 1699049262 | $2.3M |
| 12 | Predicine Inc. Hayward, CA · Clinical Medical Laboratory | $2.3M |
| 13 | 1609118041 | $2.2M |
| 14 | 1225331903 | $2.2M |
| 15 | 1366644361 | $2.0M |
| 16 | 1346608809 | $1.9M |
| 17 | United Eg Llc Lombard, IL · Clinical Medical Laboratory | $1.9M |
| 18 | 1235413477 | $1.8M |
| 19 | 1639504996 | $1.8M |
| 20 | Zam Labs Llc Des Plaines, IL · Clinical Medical Laboratory | $1.7M |
Showing top 20 of 6K providers billing this code