How much does Medicare pay for CPT 87637?

Medicare allowed an average of $139.09 per service and paid $139.09 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $290.85, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills 87637 most?

Clinical Laboratory, with 221,375 services from 232 clinicians. Next are Emergency Medicine, Nurse Practitioner, Family Practice.

CPT 87637

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus

$139.09Medicare-allowed amount per service, averaged across 285,069 services

Providers submitted

$290.85

Asking price, not received

Medicare allowed

$139.09

The fee schedule figure

Medicare paid

$139.09

Balance is patient coinsurance

Providers submitted an average of $290.85 for this code and Medicare allowed $139.09 — 2.1× 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 $139.09 (100%); the rest is the patient’s coinsurance and deductible.

Services: 285,069
Beneficiaries: 123,356
Providers billing it: 1,421
Total allowed: $39,650,247

What Medicare pays for CPT 87637

Across 285,069 services billed by 1,421 providers to 123,356 beneficiaries, Medicare allowed an average of $139.09 per service. That is 2.3 services per beneficiary, so this is a code patients typically receive more than once. 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 87637

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	221,375	79,264	$139.19	232
Emergency Medicine	21,849	4,917	$139.41	83
Nurse Practitioner	13,586	13,191	$137.86	408
Family Practice	9,558	8,942	$138.48	299
Physician Assistant	8,323	8,175	$138.04	258
Internal Medicine	6,130	5,299	$139.17	107
Pathology	2,964	2,579	$139.43	12
Mass Immunizer Roster Biller	372	139	$139.78	1
Hematology-Oncology	361	352	$139.44	2
General Practice	296	277	$138.51	8
Pediatric Medicine	130	109	$136.77	5
Pulmonary Disease	53	44	$139.78	1
Hospitalist	18	18	$139.78	1
Rheumatology	15	12	$139.78	1
Infectious Disease	13	13	$139.78	1

87637 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
California	102,973	$139.06	$139.78	217
Texas	78,094	$139.19	$139.76	71
New York	17,779	$139.56	$139.78	50
New Jersey	12,428	$139.66	$139.78	14
Illinois	9,192	$139.64	$139.78	42
Maryland	8,599	$138.38	$139.78	127
South Carolina	7,022	$137.97	$139.78	94
North Carolina	6,596	$138.13	$138.99	113
Arizona	5,164	$139.77	$139.78	31
Indiana	3,552	$139.10	$139.78	89
Pennsylvania	3,548	$139.55	$139.78	11
Oklahoma	3,411	$139.07	$139.78	16
Florida	3,278	$139.64	$139.78	24
Michigan	2,589	$139.69	$139.78	17
Ohio	2,184	$136.07	$139.78	24
Massachusetts	1,942	$139.51	$139.78	59
Louisiana	1,817	$139.14	$139.78	35
Arkansas	1,570	$138.37	$139.78	35
Georgia	1,382	$138.13	$139.78	25
Virginia	1,296	$139.14	$139.69	38
Mississippi	1,143	$135.98	$139.78	13
Tennessee	1,123	$139.55	$139.67	8
Missouri	844	$139.64	$139.78	29
Wisconsin	781	$138.79	$139.78	34
Minnesota	636	$138.04	$139.78	12
Kentucky	629	$139.20	$139.78	27
Iowa	622	$138.48	$139.78	17
Kansas	591	$138.66	$139.78	18
West Virginia	575	$138.29	$139.78	22
District of Columbia	539	$138.22	$139.78	20
Rhode Island	378	$139.15	$139.78	2
Oregon	377	$139.50	$139.78	4
Connecticut	356	$139.78	$139.78	15
New Hampshire	286	$139.78	$139.78	10
Delaware	275	$139.78	$139.78	1
Washington	249	$139.78	$139.78	11
Nebraska	191	$139.78	$139.78	8
Colorado	171	$139.78	$139.78	8
New Mexico	166	$139.36	$139.78	6
Utah	163	$138.06	$139.78	2
Alabama	139	$126.25	$139.78	6
Vermont	93	$139.78	$139.78	3
Maine	85	$136.69	$139.78	5
North Dakota	54	$135.15	$139.78	1
Nevada	53	$139.78	$139.78	1
AP	30	$135.36	$139.78	1
AE	30	$135.12	$139.78	1
Alaska	28	$139.78	$139.78	1
South Dakota	19	$139.78	$139.78	1
Idaho	16	$139.78	$139.78	1
Montana	11	$139.78	$139.78	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
87631Detection test by nucleic acid for multiple types of respiratory virus$139.46
87624Detection test by nucleic acid for human papillomavirus (hpv)$34.30
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.