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Fair Value Measurements - Valuation Of Financial Instruments By Pricing Categories (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2024
Dec. 31, 2023
Assets Measured at Fair Value      
Short-term investments $ 750 $ 750 $ 0
Available-for-sale securities, current 84 84 82
Total assets measured at fair value 4,964 4,964 3,378
Contingent consideration:      
Total liabilities measured at fair value 875 875 595
Fair Value, Inputs, Level 1      
Assets Measured at Fair Value      
Cash and cash equivalents 3,850 3,850 2,971
Short-term investments 750 750 0
Trading marketable securities 255 255 209
Total assets measured at fair value 4,855 4,855 3,180
Liabilities      
Deferred compensation arrangements 255 255 209
Contingent consideration:      
Total liabilities measured at fair value 255 255 209
Fair Value, Inputs, Level 2      
Assets Measured at Fair Value      
Available-for-sale securities, current 84 84 82
Total assets measured at fair value 109 109 198
Contingent consideration:      
Total liabilities measured at fair value 191 191 97
Fair Value, Inputs, Level 2 | Foreign currency exchange forward contracts      
Assets Measured at Fair Value      
Derivative asset 25 25 116
Liabilities      
Foreign currency exchange forward contracts 191 191 97
Fair Value, Inputs, Level 2 | Corporate and asset-backed debt securities      
Assets Measured at Fair Value      
Available-for-sale securities, current 50 50 43
Fair Value, Inputs, Level 2 | United States agency debt securities      
Assets Measured at Fair Value      
Available-for-sale securities, current 1 1 4
Fair Value, Inputs, Level 2 | United States treasury debt securities      
Assets Measured at Fair Value      
Available-for-sale securities, current 28 28 31
Fair Value, Inputs, Level 2 | Certificates of deposit      
Assets Measured at Fair Value      
Available-for-sale securities, current 5 5 4
Fair Value, Inputs, Level 3      
Contingent consideration:      
Beginning   289 121
Additions 204   192
Change in estimate and foreign exchange   (11) (2)
Settlements   (53) (22)
Ending 429 429 289
Total liabilities measured at fair value $ 429 $ 429 $ 289