Cost analysis for CPT 82043 — Urine microalbumin (protein) level
Average Medicare Payment
$5.62
2023 data
Total Payments (2023)
$22.7M
Services (2023)
4.0M
Price Change (2014–2023)
-22.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $7.21 | $22.5M | 3.2M | — |
| 2015 | $7.19 | $23.4M | 3.3M | -0.3% |
| 2016 | $7.13 | $24.4M | 3.5M | -0.8% |
| 2017 | $7.19 | $25.3M | 3.6M | +0.8% |
| 2018 | $6.94 | $25.5M | 3.7M | -3.5% |
| 2019 | $6.24 | $23.4M | 3.7M | -10.1% |
| 2020 | $5.71 | $19.3M | 3.4M | -8.5% |
| 2021 | $5.74 | $20.6M | 3.6M | +0.5% |
| 2022 | $5.67 | $21.0M | 3.7M | -1.2% |
| 2023 | $5.62 | $22.7M | 4.0M | -0.9% |
The most expensive state pays 1.0x more than the cheapest for this procedure. VI averages $5.66 vs DC at $5.54.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VI | $5.66 | $11.3K | 2.0K | 5 |
| VT | $5.66 | $1.3K | 230 | 11 |
| DE | $5.66 | $1.5K | 257 | 4 |
| NH | $5.66 | $11.1K | 2.0K | 40 |
| KS | $5.66 | $611.5K | 108.1K | 246 |
| CA | $5.66 | $3.0M | 534.4K | 349 |
| MA | $5.66 | $572.1K | 101.1K | 449 |
| NM | $5.65 | $82.7K | 14.6K | 32 |
| MD | $5.65 | $430.7K | 76.2K | 169 |
| NJ | $5.65 | $2.4M | 427.7K | 204 |
| NV | $5.65 | $184.3K | 32.6K | 20 |
| CO | $5.65 | $128.6K | 22.8K | 41 |
| PA | $5.65 | $361.9K | 64.0K | 107 |
| WY | $5.65 | $10.9K | 1.9K | 23 |
| AZ | $5.65 | $956.8K | 169.3K | 251 |
| TX | $5.65 | $2.2M | 396.6K | 722 |
| NC | $5.65 | $2.0M | 356.1K | 685 |
| OH | $5.65 | $768.0K | 136.0K | 300 |
| PR | $5.65 | $69.0K | 12.2K | 200 |
| RI | $5.65 | $40.8K | 7.2K | 8 |
| CT | $5.65 | $57.3K | 10.1K | 163 |
| NY | $5.65 | $795.4K | 140.9K | 703 |
| UT | $5.64 | $112.3K | 19.9K | 171 |
| OK | $5.64 | $188.4K | 33.4K | 80 |
| IN | $5.64 | $169.1K | 30.0K | 91 |
| IL | $5.64 | $543.7K | 96.4K | 354 |
| GA | $5.64 | $563.1K | 99.8K | 405 |
| NE | $5.64 | $82.7K | 14.7K | 154 |
| MI | $5.64 | $137.8K | 24.4K | 167 |
| ND | $5.64 | $32.5K | 5.8K | 20 |
| ME | $5.64 | $22.2K | 3.9K | 71 |
| VA | $5.64 | $437.8K | 77.6K | 325 |
| MO | $5.64 | $71.7K | 12.7K | 246 |
| SD | $5.64 | $25.0K | 4.4K | 67 |
| MT | $5.64 | $13.1K | 2.3K | 26 |
| IA | $5.64 | $117.1K | 20.8K | 210 |
| OR | $5.63 | $162.8K | 28.9K | 176 |
| SC | $5.63 | $212.7K | 37.8K | 200 |
| LA | $5.63 | $95.8K | 17.0K | 159 |
| WA | $5.63 | $412.3K | 73.2K | 269 |
| MN | $5.63 | $194.9K | 34.6K | 660 |
| KY | $5.63 | $99.5K | 17.7K | 87 |
| AL | $5.63 | $602.4K | 107.0K | 283 |
| GU | $5.63 | $962.47 | 171 | 5 |
| HI | $5.63 | $212.7K | 37.8K | 2 |
| ID | $5.62 | $20.2K | 3.6K | 48 |
| TN | $5.62 | $442.1K | 78.7K | 629 |
| WI | $5.62 | $326.3K | 58.1K | 181 |
| FL | $5.62 | $2.4M | 428.7K | 684 |
| AR | $5.61 | $64.6K | 11.5K | 137 |
| MS | $5.61 | $95.6K | 17.0K | 99 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $1.4M | 255.6K | $5.65 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $1.2M | 210.1K | $5.65 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $886.0K | 156.6K | $5.66 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $764.6K | 135.1K | $5.66 |
| Unilab Corporation | Clinical Laboratory | CA | $725.3K | 128.2K | $5.66 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $574.5K | 101.6K | $5.66 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $517.3K | 91.4K | $5.66 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $487.3K | 86.3K | $5.65 |
| Unilab Corporation | Clinical Laboratory | CA | $472.3K | 83.4K | $5.66 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $457.3K | 81.0K | $5.65 |
| Labone Llc | Clinical Laboratory | KS | $441.5K | 78.0K | $5.66 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $436.2K | 77.2K | $5.65 |
| Clinical Pathology Laboratories, Inc. | Clinical Laboratory | TX | $403.2K | 71.2K | $5.66 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $390.4K | 69.0K | $5.66 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $323.0K | 57.1K | $5.66 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $320.8K | 56.7K | $5.66 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $313.0K | 55.3K | $5.66 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $311.9K | 55.1K | $5.66 |
| Laboratory Corporation Of America | Clinical Laboratory | TX | $272.8K | 48.3K | $5.65 |
| Quest Diagnostics Incorporated Md | Clinical Laboratory | MD | $271.0K | 47.9K | $5.66 |
Based on the data, CPT 82043 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 22.1% since 2014. 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.