#907 of 11K

82570

HCPCS Procedure Code

HCPCS code 82570 is the #907 most-billed Medicaid procedure code, with $60.1M in payments across 22.8M claims from 2018–2024. The national median cost per claim is $3.18. Costs vary widely — the 90th percentile is $6.57 per claim, 2.1× the median.

Total Paid

$60.1M

0.01% of all spending

Total Claims

22.8M

Providers

4,729

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 82570? Based on 4,284 providers billing this code nationally.

Median

$3.18

Average

$3.99

Std Dev

$7.67

Max

$316.70

Percentile Distribution (Cost per Claim)

p10

$0.42

p25

$1.56

Median

$3.18

p75

$4.78

p90

$6.57

p95

$8.47

p99

$25.20

50% of providers bill between $1.56 and $4.78 per claim for this code.

90% bill between $0.42 and $6.57.

Top 1% bill above $25.20.

About This Procedure

HCPCS code 82570 was billed by 4,729 providers across 22.8M claims, totaling $60.1M in Medicaid payments from 2018–2024. This code was used for 20.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.18

Providers Billing

4,284

National Spending

$60.1M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82570

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$3.1M	$1.81	0.6× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$2.2M	$2.69	0.8× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$2.1M	$3.55	1.1× median	Above Median
4	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$1.5M	$2.67	0.8× median	Below Median
5	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$1.4M	$1.49	0.5× median	Below Median
6	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$1.4M	$2.46	0.8× median	Below Median
7	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$1.1M	$3.46	1.1× median	Above Median
8	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$1.0M	$116.50	36.6× median	Top 1%
9	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$858K	$2.04	0.6× median	Below Median
10	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$783K	$2.74	0.9× median	Below Median
11	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$776K	$3.49	1.1× median	Above Median
12	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$721K	$3.97	1.2× median	Above Median
13	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$674K	$1.17	0.4× median	Below Median
14	1487868097	$543K	$118.57	37.3× median	Top 1%
15	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$521K	$2.14	0.7× median	Below Median
16	Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization	$515K	$5.20	1.6× median	Above 75th
17	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$489K	$0.92	0.3× median	Below Median
18	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$456K	$0.62	0.2× median	Below Median
19	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$449K	$1.54	0.5× median	Below Median
20	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$445K	$0.95	0.3× median	Below Median

Showing top 20 of 4,729 providers billing this code

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