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#3658 of 11K

80156

HCPCS Procedure Code

HCPCS code 80156 is the #3,658 most-billed Medicaid procedure code, with $1.4M in payments across 215K claims from 2018–2024. The national median cost per claim is $5.87. Costs vary widely — the 90th percentile is $12.68 per claim, 2.2× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

215K

Providers

208

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 80156? Based on 201 providers billing this code nationally.

Median

$5.87

Average

$6.86

Std Dev

$5.33

Max

$35.65

Percentile Distribution (Cost per Claim)

p10
$1.55
p25
$3.31
Median
$5.87
p75
$9.10
p90
$12.68
p95
$16.05
p99
$27.43

50% of providers bill between $3.31 and $9.10 per claim for this code.

90% bill between $1.55 and $12.68.

Top 1% bill above $27.43.

About This Procedure

HCPCS code 80156 was billed by 208 providers across 215K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 188K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.87

Providers Billing

201

National Spending

$1.4M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80156

#ProviderTotal Paid
11871960195$152K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$137K
31629144050$77K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$67K
51609273317$65K
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$52K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$39K
8Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$39K
9Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$38K
10Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$38K
111790101681$38K
12Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$33K
13Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$27K
14Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$25K
15Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$24K
16Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$23K
17Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$21K
18Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$21K
191659373900$20K
201265418669$18K

Showing top 20 of 208 providers billing this code