86003
Allergen specific IgE blood test, each allergen
Allergen specific IgE blood test, each allergen is the #522 most-billed Medicaid procedure code, with $166.9M in payments across 4.4M claims from 2018–2024. The national median cost per claim is $40.67. Costs vary widely — the 90th percentile is $126.20 per claim, 3.1× the median.
Total Paid
$166.9M
0.02% of all spending
Total Claims
4.4M
Providers
1K
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 86003? Based on 963 providers billing this code nationally.
Median
$40.67
Average
$55.81
Std Dev
$59.35
Max
$707.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.81 and $75.68 per claim for this code.
90% bill between $5.33 and $126.20.
Top 1% bill above $265.67.
About This Procedure
HCPCS code 86003 (Allergen specific IgE blood test, each allergen) was billed by 1K providers across 4.4M claims, totaling $166.9M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.67
Providers Billing
963
National Spending
$166.9M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86003
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $27.1M |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $12.1M |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $6.4M |
| 4 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $5.3M |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $5.1M |
| 6 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $5.1M |
| 7 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $4.5M |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $4.4M |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $4.0M |
| 10 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $2.6M |
| 11 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $2.5M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $2.4M |
| 13 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $2.3M |
| 14 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $2.2M |
| 15 | 1881626943 | $2.1M |
| 16 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $2.1M |
| 17 | 1457341851 | $1.9M |
| 18 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $1.8M |
| 19 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $1.7M |
| 20 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $1.7M |
Showing top 20 of 1K providers billing this code