Cost analysis for CPT 82746 — Folic acid level, serum
Average Medicare Payment
$14.34
2023 data
Total Payments (2023)
$34.8M
Services (2023)
2.4M
Price Change (2014–2023)
-26.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $19.38 | $41.3M | 2.1M | — |
| 2015 | $19.33 | $41.7M | 2.1M | -0.3% |
| 2016 | $19.33 | $42.1M | 2.2M | 0.0% |
| 2017 | $19.47 | $42.0M | 2.1M | +0.7% |
| 2018 | $17.70 | $38.3M | 2.2M | -9.1% |
| 2019 | $15.93 | $35.5M | 2.2M | -10.0% |
| 2020 | $14.55 | $29.1M | 2.0M | -8.7% |
| 2021 | $14.63 | $32.4M | 2.2M | +0.5% |
| 2022 | $14.45 | $32.6M | 2.2M | -1.2% |
| 2023 | $14.34 | $34.8M | 2.4M | -0.8% |
The most expensive state pays 1.0x more than the cheapest for this procedure. VI averages $14.41 vs AK at $14.19.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VI | $14.41 | $5.0K | 346 | 3 |
| NJ | $14.40 | $3.9M | 268.2K | 97 |
| ND | $14.40 | $140.7K | 9.8K | 6 |
| CA | $14.40 | $4.9M | 339.5K | 299 |
| MA | $14.40 | $913.1K | 63.4K | 126 |
| KS | $14.40 | $602.3K | 41.8K | 81 |
| RI | $14.40 | $34.6K | 2.4K | 3 |
| FL | $14.40 | $6.2M | 430.9K | 647 |
| CO | $14.40 | $109.4K | 7.6K | 36 |
| MI | $14.39 | $460.3K | 32.0K | 84 |
| NC | $14.39 | $2.4M | 168.2K | 178 |
| NH | $14.39 | $21.9K | 1.5K | 43 |
| PA | $14.39 | $354.9K | 24.7K | 41 |
| MD | $14.39 | $331.3K | 23.0K | 67 |
| NY | $14.39 | $3.3M | 230.4K | 639 |
| NE | $14.39 | $32.1K | 2.2K | 21 |
| GA | $14.39 | $768.2K | 53.4K | 172 |
| IL | $14.39 | $1.0M | 72.8K | 222 |
| NV | $14.39 | $312.0K | 21.7K | 39 |
| TX | $14.38 | $1.9M | 129.8K | 346 |
| AZ | $14.38 | $1.4M | 94.7K | 124 |
| LA | $14.38 | $71.1K | 4.9K | 52 |
| OH | $14.38 | $1.3M | 93.1K | 207 |
| OK | $14.38 | $175.2K | 12.2K | 44 |
| SC | $14.38 | $196.5K | 13.7K | 118 |
| PR | $14.38 | $32.7K | 2.3K | 41 |
| ID | $14.37 | $9.8K | 684 | 7 |
| VA | $14.37 | $351.5K | 24.5K | 143 |
| DE | $14.37 | $5.1K | 358 | 4 |
| WA | $14.37 | $513.4K | 35.7K | 105 |
| HI | $14.37 | $109.6K | 7.6K | 2 |
| IA | $14.36 | $60.9K | 4.2K | 61 |
| MO | $14.36 | $194.4K | 13.5K | 129 |
| NM | $14.36 | $48.3K | 3.4K | 16 |
| IN | $14.36 | $189.4K | 13.2K | 41 |
| ME | $14.36 | $36.3K | 2.5K | 15 |
| OR | $14.36 | $132.7K | 9.2K | 47 |
| KY | $14.35 | $133.5K | 9.3K | 52 |
| MT | $14.35 | $2.7K | 186 | 2 |
| WY | $14.35 | $3.1K | 215 | 8 |
| AL | $14.35 | $977.6K | 68.1K | 167 |
| CT | $14.34 | $38.2K | 2.7K | 32 |
| AR | $14.34 | $105.1K | 7.3K | 92 |
| UT | $14.34 | $39.1K | 2.7K | 47 |
| TN | $14.34 | $556.6K | 38.8K | 368 |
| MN | $14.32 | $74.2K | 5.2K | 49 |
| SD | $14.31 | $20.4K | 1.4K | 24 |
| MS | $14.29 | $54.6K | 3.8K | 42 |
| WI | $14.28 | $254.9K | 17.9K | 16 |
| WV | $14.24 | $30.7K | 2.2K | 20 |
| AK | $14.19 | $7.0K | 495 | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $1.7M | 117.3K | $14.40 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $1.7M | 115.8K | $14.41 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $1.2M | 86.7K | $14.40 |
| Unilab Corporation | Clinical Laboratory | CA | $1.1M | 76.9K | $14.40 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $1.0M | 70.7K | $14.41 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $878.5K | 61.0K | $14.40 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $841.0K | 58.4K | $14.41 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $794.3K | 55.2K | $14.39 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $735.5K | 51.1K | $14.40 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $722.6K | 50.2K | $14.40 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $702.3K | 48.9K | $14.37 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $700.9K | 48.8K | $14.38 |
| Bioreference Health, Llc | Clinical Laboratory | NJ | $635.6K | 44.1K | $14.40 |
| Sunrise Medical Laboratories, Inc. | Clinical Laboratory | NY | $540.6K | 37.5K | $14.40 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $518.5K | 36.0K | $14.41 |
| Unilab Corporation | Clinical Laboratory | CA | $500.1K | 34.7K | $14.41 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $496.9K | 34.5K | $14.41 |
| Labone Llc | Clinical Laboratory | KS | $436.1K | 30.3K | $14.41 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $428.6K | 29.7K | $14.41 |
| Quest Diagnostics Llc | Clinical Laboratory | MA | $342.6K | 23.8K | $14.41 |
Based on the data, CPT 82746 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 26% 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.