How much does Medicare pay for CPT 87624?

Medicare allowed an average of $34.30 per service and paid $34.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $140.96, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 87624?

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types. It was billed 216,688 times to 210,852 Medicare beneficiaries by 473 providers in 2024.

Which specialty bills 87624 most?

Clinical Laboratory, with 186,409 services from 246 clinicians. Next are Pathology, Obstetrics & Gynecology, Family Practice.

CPT 87624

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types

$34.30Medicare-allowed amount per service, averaged across 216,688 services

Providers submitted

$140.96

Asking price, not received

Medicare allowed

$34.30

The fee schedule figure

Medicare paid

$34.30

Balance is patient coinsurance

Providers submitted an average of $140.96 for this code and Medicare allowed $34.30 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $34.30 (100%); the rest is the patient’s coinsurance and deductible.

Services: 216,688
Beneficiaries: 210,852
Providers billing it: 473
Total allowed: $7,432,398

What Medicare pays for CPT 87624

Across 216,688 services billed by 473 providers to 210,852 beneficiaries, Medicare allowed an average of $34.30 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 87624

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	186,409	180,973	$34.34	246
Pathology	26,037	25,668	$34.08	142
Obstetrics & Gynecology	3,340	3,323	$34.17	70
Family Practice	460	454	$33.89	2
Internal Medicine	180	179	$34.39	5
Nurse Practitioner	128	123	$33.33	5
Gastroenterology	67	65	$31.82	1
Hematology-Oncology	52	52	$34.39	1
Osteopathic Manipulative Medicine	15	15	$32.10	1

87624 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New Jersey	46,130	$34.35	$34.39	27
Texas	22,853	$34.34	$34.39	49
California	22,598	$34.37	$34.39	81
New York	19,164	$34.36	$34.39	41
Pennsylvania	11,285	$34.38	$34.39	11
North Carolina	9,575	$34.32	$34.39	9
Florida	8,195	$34.36	$34.39	26
Massachusetts	7,661	$34.39	$34.39	24
Illinois	6,034	$34.32	$34.39	15
Tennessee	5,919	$34.36	$34.39	26
West Virginia	5,309	$34.39	$34.39	1
Kansas	4,986	$34.37	$34.39	9
Arizona	4,792	$34.39	$34.39	7
Colorado	4,123	$34.31	$34.39	6
Washington	3,832	$34.23	$34.39	13
Alabama	3,625	$33.98	$34.39	8
Maryland	2,872	$34.30	$34.39	7
Wisconsin	2,739	$33.17	$34.39	4
Ohio	2,347	$34.25	$34.39	8
Oklahoma	2,039	$34.34	$34.39	5
Georgia	1,888	$34.39	$34.39	3
Nevada	1,826	$32.84	$34.39	3
Louisiana	1,798	$34.24	$34.39	4
Michigan	1,738	$34.37	$34.39	6
Oregon	1,478	$34.32	$34.39	5
Iowa	1,230	$34.37	$34.39	5
Puerto Rico	1,227	$34.34	$34.39	6
Connecticut	1,186	$32.31	$34.39	5
Virginia	1,145	$34.39	$34.39	6
Indiana	951	$33.99	$34.39	6
Kentucky	914	$34.31	$34.39	2
Arkansas	706	$34.36	$34.39	6
New Mexico	597	$34.39	$34.39	2
Hawaii	569	$34.28	$34.39	2
Nebraska	562	$34.39	$34.39	4
Utah	515	$34.32	$34.39	5
Minnesota	469	$34.20	$34.39	7
South Carolina	453	$34.39	$34.39	3
Mississippi	400	$34.39	$34.39	3
Montana	260	$34.31	$34.39	2
Missouri	186	$34.27	$34.39	4
New Hampshire	101	$34.05	$34.39	1
South Dakota	100	$34.08	$34.39	2
Idaho	99	$34.39	$34.39	1
Maine	97	$34.39	$34.39	1
Rhode Island	78	$34.39	$34.39	1
North Dakota	37	$34.39	$34.39	1

Related codes

87640Detection test by nucleic acid for staphylococcus aureus (bacteria)$34.35
87653Detection test by nucleic acid for strep (streptococcus$34.36
87635Amplifed dna or rna probe detection of severe acute respiratory syndro$50.11
87651Detection test by nucleic acid for strep (streptococcus$34.33
87641Detection test by nucleic acid for staphylococcus aureus$34.36
87637Detection test by multiplex amplified probe technique for severe acute$139.09
87631Detection test by nucleic acid for multiple types of respiratory virus$139.46
87636Detection test by multiplex amplified probe technique for severe acute$138.39
87661Detection test by nucleic acid for trichomonas vaginalis (genital para$34.30
87634Detection test by nucleic acid for respiratory syncytial virus$68.72
87652Detection test by nucleic acid for strep (streptococcus$40.89
87625Detection test by nucleic acid for human papillomavirus (hpv)$39.71

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.