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#3103 of 11K

82157

HCPCS Procedure Code

HCPCS code 82157 is the #3,103 most-billed Medicaid procedure code, with $2.5M in payments across 162K claims from 2018–2024. The national median cost per claim is $18.30.

Total Paid

$2.5M

0.00% of all spending

Total Claims

162K

Providers

127

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 82157? Based on 126 providers billing this code nationally.

Median

$18.30

Average

$24.13

Std Dev

$57.55

Max

$652.31

Percentile Distribution (Cost per Claim)

p10
$4.69
p25
$12.98
Median
$18.30
p75
$25.70
p90
$28.91
p95
$38.70
p99
$63.27

50% of providers bill between $12.98 and $25.70 per claim for this code.

90% bill between $4.69 and $28.91.

Top 1% bill above $63.27.

About This Procedure

HCPCS code 82157 was billed by 127 providers across 162K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 156K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.30

Providers Billing

126

National Spending

$2.5M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82157

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$220K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$208K
3Laboratory Corporation Of America

Houston, TX · Clinical Medical Laboratory

$156K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$128K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$118K
61184847410$118K
71780620526$109K
8Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$104K
9Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$95K
10Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$85K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$81K
121598924458$76K
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$57K
14Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$48K
15Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$46K
16Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$45K
17Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$41K
18Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$40K
19Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$38K
20Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$37K

Showing top 20 of 127 providers billing this code