81220
CFTR gene analysis, common variants
CFTR gene analysis, common variants is the #308 most-billed Medicaid procedure code, with $458.2M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $183.31. Costs vary widely — the 90th percentile is $421.84 per claim, 2.3× the median.
Total Paid
$458.2M
0.04% of all spending
Total Claims
2.5M
Providers
502
Avg Cost/Claim
$187
National Cost Distribution
How much do providers bill per claim for 81220? Based on 448 providers billing this code nationally.
Median
$183.31
Average
$213.22
Std Dev
$179.67
Max
$1,837.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $87.01 and $300.45 per claim for this code.
90% bill between $24.23 and $421.84.
Top 1% bill above $847.37.
About This Procedure
HCPCS code 81220 (CFTR gene analysis, common variants) was billed by 502 providers across 2.5M claims, totaling $458.2M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$183.31
Providers Billing
448
National Spending
$458.2M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81220
| # | Provider | Total Paid |
|---|---|---|
| 1 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $74.6M |
| 2 | Myriad Women's Health, Inc. South San Francisco, CA · Clinical Medical Laboratory | $35.3M |
| 3 | 1689975021 | $32.0M |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $31.6M |
| 5 | 1598314437 | $22.3M |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $22.1M |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $14.6M |
| 8 | State Of Alabama Department Of Public Health Prattville, AL · Clinical Medical Laboratory | $11.3M |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $10.4M |
| 10 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $10.0M |
| 11 | 1114222817 | $9.7M |
| 12 | Bureau Of Public Health Laboratories Jacksonville, FL · Clinical Medical Laboratory | $9.6M |
| 13 | 1235528225 | $7.7M |
| 14 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $7.6M |
| 15 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $7.3M |
| 16 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $7.1M |
| 17 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $7.1M |
| 18 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6.5M |
| 19 | 1780620526 | $6.5M |
| 20 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $6.0M |
Showing top 20 of 502 providers billing this code