CPT 83036 Pathology/Laboratory

How Much Does Hemoglobin A1C Test Cost?

Also known as: Hemoglobin A1C level (CPT 83036)

A blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes.

Hemoglobin A1C Test (CPT 83036) costs $10 at Medicare rates.

Medicare (Facility)
$10
CMS PFS 2026 national rate

Patient Guide: Hemoglobin A1C Test

What you need to know before your appointment

What to Expect

A simple blood draw from your arm. No fasting is needed. The result shows your average blood sugar control.

How Long Does It Take?

5 minutes for blood draw, results in 1-2 days

Common Reasons Doctors Order This

Diabetes diagnosis, diabetes management, pre-diabetes monitoring, blood sugar control assessment

How to Prepare

No fasting required. Continue normal eating and medications. This test can be done at any time of day.

Procedures Commonly Done Together

These procedures are frequently performed alongside Hemoglobin A1C level

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How to Reduce Your Cost for Hemoglobin A1C level

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Hemoglobin A1C level cost?

The Medicare facility rate for Hemoglobin A1C level is $10. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Hemoglobin A1C level cost without insurance?

Without insurance, the cost of Hemoglobin A1C level can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Hemoglobin A1C level?

Most commercial health insurance plans and Medicare cover Hemoglobin A1C level when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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