Cost analysis for CPT 36415 — Insertion of needle into vein for collection of blood sample
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.3x more than the cheapest for this procedure. RI averages $8.39 vs PR at $6.25.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| RI | $8.39 | $499.2K | 59.5K | 51 |
| XX | $8.37 | $16.5K | 2.0K | 3 |
| WI | $8.34 | $5.2M | 628.1K | 2.3K |
| MA | $8.33 | $9.9M | 1.2M | 2.1K |
| ND | $8.33 | $693.5K | 83.3K | 223 |
| NC | $8.32 | $22.5M | 2.7M | 3.5K |
| GU | $8.32 | $16.3K | 2.0K | 13 |
| GA | $8.32 | $9.6M | 1.2M | 3.0K |
| IN | $8.31 | $3.9M | 469.2K | 1.7K |
| VT | $8.31 | $217.4K | 26.2K | 162 |
| MN | $8.29 | $5.2M | 630.1K | 3.5K |
| OH | $8.28 | $10.3M | 1.2M | 1.9K |
| AK | $8.28 | $249.3K | 30.1K | 286 |
| NV | $8.28 | $2.4M | 285.5K | 299 |
| MD | $8.27 | $6.1M | 736.0K | 1.4K |
| TN | $8.27 | $10.6M | 1.3M | 3.3K |
| CA | $8.27 | $33.6M | 4.1M | 4.5K |
| IA | $8.25 | $3.5M | 421.6K | 1.4K |
| CT | $8.24 | $948.2K | 115.1K | 570 |
| PA | $8.23 | $7.6M | 919.1K | 2.3K |
| NM | $8.23 | $1.1M | 129.3K | 357 |
| NJ | $8.23 | $24.4M | 3.0M | 2.2K |
| KS | $8.22 | $6.9M | 835.3K | 1.1K |
| WV | $8.20 | $559.5K | 68.3K | 338 |
| TX | $8.19 | $28.0M | 3.4M | 6.3K |
| IL | $8.19 | $11.1M | 1.4M | 4.2K |
| NY | $8.19 | $18.4M | 2.3M | 8.1K |
| AZ | $8.16 | $11.8M | 1.5M | 1.4K |
| ME | $8.15 | $538.4K | 66.0K | 250 |
| CO | $8.15 | $3.0M | 364.4K | 1.0K |
| MO | $8.15 | $3.0M | 363.0K | 1.6K |
| MS | $8.14 | $3.9M | 478.7K | 1.6K |
| ID | $8.12 | $630.1K | 77.6K | 489 |
| HI | $8.12 | $1.9M | 228.6K | 33 |
| WA | $8.11 | $6.7M | 826.2K | 1.9K |
| DC | $8.11 | $138.4K | 17.1K | 114 |
| KY | $8.11 | $1.8M | 221.1K | 1.0K |
| FL | $8.10 | $30.0M | 3.7M | 6.0K |
| UT | $8.09 | $1.4M | 173.1K | 867 |
| SC | $8.05 | $5.7M | 704.6K | 2.1K |
| AR | $8.04 | $3.3M | 415.6K | 1.3K |
| AE | $8.03 | $859.35 | 107 | 3 |
| LA | $8.01 | $2.6M | 321.3K | 799 |
| AL | $7.98 | $7.5M | 935.2K | 1.5K |
| VA | $7.98 | $7.8M | 979.6K | 2.6K |
| OR | $7.98 | $2.5M | 317.5K | 1.0K |
| WY | $7.93 | $330.3K | 41.7K | 202 |
| MT | $7.92 | $467.9K | 59.0K | 256 |
| MI | $7.80 | $3.0M | 384.8K | 1.9K |
| OK | $7.74 | $3.5M | 449.9K | 1.0K |
| DE | $7.60 | $181.3K | 23.9K | 37 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $14.9M | 1.8M | $8.39 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $11.4M | 1.4M | $8.38 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $7.7M | 913.4K | $8.40 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $6.7M | 794.5K | $8.40 |
| Unilab Corporation | Clinical Laboratory | CA | $6.0M | 717.6K | $8.39 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $5.1M | 610.1K | $8.38 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $5.0M | 591.7K | $8.40 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $4.7M | 558.6K | $8.33 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $4.6M | 551.2K | $8.38 |
| Unilab Corporation | Clinical Laboratory | CA | $4.5M | 539.2K | $8.40 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $4.2M | 501.2K | $8.39 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $4.0M | 477.6K | $8.40 |
| Clinical Pathology Laboratories, Inc. | Clinical Laboratory | TX | $3.9M | 480.2K | $8.22 |
| Labone Llc | Clinical Laboratory | KS | $3.3M | 394.7K | $8.40 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $3.1M | 364.7K | $8.38 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $3.0M | 353.2K | $8.40 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $2.9M | 350.3K | $8.39 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $2.9M | 342.7K | $8.35 |
| Laboratory Corporation Of America | Clinical Laboratory | WA | $2.6M | 313.7K | $8.40 |
| Quest Diagnostics Incorporated Md | Clinical Laboratory | MD | $2.5M | 297.8K | $8.40 |
Based on the data, CPT 36415 shows a 1.3x variation in pricing across states — relatively consistent 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.