86036
HCPCS Procedure Code
HCPCS code 86036 is the #4,122 most-billed Medicaid procedure code, with $830K in payments across 111K claims from 2018–2024. The national median cost per claim is $7.33. Costs vary widely — the 90th percentile is $14.75 per claim, 2.0× the median.
Total Paid
$830K
0.00% of all spending
Total Claims
111K
Providers
119
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86036? Based on 115 providers billing this code nationally.
Median
$7.33
Average
$8.69
Std Dev
$8.28
Max
$71.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.25 and $10.46 per claim for this code.
90% bill between $2.37 and $14.75.
Top 1% bill above $34.84.
About This Procedure
HCPCS code 86036 was billed by 119 providers across 111K claims, totaling $830K in Medicaid payments from 2018–2024. This code was used for 105K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.33
Providers Billing
115
National Spending
$830K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86036
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $125K |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $92K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $78K |
| 4 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $32K |
| 5 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $32K |
| 6 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $32K |
| 7 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $28K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $26K |
| 9 | 1316983158 | $23K |
| 10 | 1770529513 | $19K |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $18K |
| 12 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $18K |
| 13 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $16K |
| 14 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $14K |
| 15 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $14K |
| 16 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $12K |
| 17 | 1447296272 | $11K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $11K |
| 19 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $11K |
| 20 | 1215930987 | $10K |
Showing top 20 of 119 providers billing this code