Cost analysis for CPT 82607 — Cyanocobalamin (vitamin b-12) level
Average Medicare Payment
$14.70
2023 data
Total Payments (2023)
$65.7M
Services (2023)
4.4M
Price Change (2014–2023)
-26.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $19.99 | $76.4M | 3.8M | — |
| 2015 | $19.93 | $78.0M | 3.9M | -0.3% |
| 2016 | $19.96 | $79.2M | 3.9M | +0.2% |
| 2017 | $20.09 | $80.2M | 4.0M | +0.7% |
| 2018 | $18.14 | $72.2M | 4.0M | -9.7% |
| 2019 | $16.32 | $66.9M | 4.1M | -10.0% |
| 2020 | $14.92 | $55.1M | 3.7M | -8.6% |
| 2021 | $15.01 | $61.3M | 4.1M | +0.6% |
| 2022 | $14.82 | $61.9M | 4.2M | -1.3% |
| 2023 | $14.70 | $65.7M | 4.4M | -0.8% |
The most expensive state pays 1.0x more than the cheapest for this procedure. VI averages $14.78 vs AK at $14.63.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VI | $14.78 | $9.9K | 670 | 3 |
| DC | $14.78 | $7.8K | 529 | 6 |
| KS | $14.77 | $1.3M | 90.4K | 133 |
| CA | $14.77 | $8.3M | 564.1K | 436 |
| FL | $14.77 | $10.6M | 718.1K | 933 |
| MA | $14.77 | $1.9M | 126.7K | 444 |
| CO | $14.76 | $237.7K | 16.1K | 50 |
| ND | $14.76 | $216.3K | 14.6K | 24 |
| MI | $14.76 | $809.6K | 54.8K | 149 |
| NJ | $14.76 | $5.9M | 400.3K | 148 |
| DE | $14.76 | $13.8K | 933 | 4 |
| NC | $14.76 | $5.2M | 352.3K | 597 |
| NY | $14.76 | $5.5M | 372.8K | 1.1K |
| PA | $14.76 | $791.0K | 53.6K | 112 |
| IL | $14.76 | $1.9M | 131.3K | 374 |
| TX | $14.75 | $4.0M | 271.0K | 747 |
| MD | $14.75 | $735.4K | 49.8K | 161 |
| GA | $14.75 | $1.8M | 120.5K | 427 |
| NV | $14.75 | $540.4K | 36.6K | 48 |
| OK | $14.75 | $355.6K | 24.1K | 69 |
| RI | $14.75 | $94.7K | 6.4K | 7 |
| OH | $14.75 | $2.7M | 181.6K | 308 |
| NM | $14.75 | $98.8K | 6.7K | 29 |
| AZ | $14.74 | $2.3M | 157.2K | 237 |
| WY | $14.74 | $5.2K | 355 | 8 |
| NH | $14.74 | $44.1K | 3.0K | 63 |
| LA | $14.74 | $174.5K | 11.8K | 110 |
| CT | $14.74 | $105.4K | 7.1K | 107 |
| VA | $14.74 | $1.0M | 69.3K | 384 |
| ME | $14.74 | $81.8K | 5.6K | 77 |
| NE | $14.74 | $130.0K | 8.8K | 80 |
| SC | $14.73 | $541.1K | 36.7K | 236 |
| UT | $14.73 | $232.3K | 15.8K | 182 |
| HI | $14.73 | $203.0K | 13.8K | 2 |
| IN | $14.73 | $537.1K | 36.5K | 97 |
| MO | $14.72 | $364.0K | 24.7K | 256 |
| MT | $14.72 | $11.3K | 770 | 6 |
| IA | $14.72 | $175.5K | 11.9K | 189 |
| KY | $14.72 | $488.9K | 33.2K | 135 |
| AR | $14.72 | $224.9K | 15.3K | 189 |
| PR | $14.71 | $109.8K | 7.5K | 131 |
| ID | $14.71 | $32.5K | 2.2K | 23 |
| WA | $14.71 | $976.9K | 66.4K | 280 |
| MN | $14.71 | $311.1K | 21.1K | 250 |
| OR | $14.71 | $336.5K | 22.9K | 195 |
| SD | $14.71 | $76.2K | 5.2K | 65 |
| AL | $14.70 | $2.0M | 138.2K | 367 |
| TN | $14.69 | $1.3M | 86.9K | 886 |
| WV | $14.65 | $58.1K | 4.0K | 36 |
| WI | $14.65 | $450.6K | 30.8K | 86 |
| MS | $14.65 | $251.0K | 17.1K | 151 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $3.4M | 229.5K | $14.77 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $3.1M | 208.1K | $14.78 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $2.1M | 143.0K | $14.77 |
| Unilab Corporation | Clinical Laboratory | CA | $1.8M | 123.5K | $14.77 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $1.6M | 111.4K | $14.78 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $1.4M | 96.4K | $14.76 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $1.3M | 90.4K | $14.77 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $1.3M | 87.5K | $14.74 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $1.3M | 84.7K | $14.78 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $1.2M | 82.0K | $14.77 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $1.2M | 82.0K | $14.77 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $1.2M | 79.3K | $14.75 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $1.1M | 72.8K | $14.78 |
| Sunrise Medical Laboratories, Inc. | Clinical Laboratory | NY | $1000.0K | 67.7K | $14.77 |
| Unilab Corporation | Clinical Laboratory | CA | $972.8K | 65.8K | $14.78 |
| Labone Llc | Clinical Laboratory | KS | $946.6K | 64.0K | $14.78 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $919.1K | 62.2K | $14.78 |
| Bioreference Health, Llc | Clinical Laboratory | NJ | $818.5K | 55.4K | $14.77 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $683.1K | 46.2K | $14.78 |
| Quest Diagnostics Llc | Clinical Laboratory | MA | $622.7K | 42.1K | $14.78 |
Based on the data, CPT 82607 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 26.5% 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.