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#2448 of 11K

86039

HCPCS Procedure Code

HCPCS code 86039 is the #2,448 most-billed Medicaid procedure code, with $5.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $6.76. Costs vary widely — the 90th percentile is $13.85 per claim, 2.0× the median.

Total Paid

$5.7M

0.00% of all spending

Total Claims

1.1M

Providers

606

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 86039? Based on 578 providers billing this code nationally.

Median

$6.76

Average

$8.29

Std Dev

$8.82

Max

$97.97

Percentile Distribution (Cost per Claim)

p10
$1.89
p25
$4.29
Median
$6.76
p75
$9.74
p90
$13.85
p95
$16.98
p99
$48.07

50% of providers bill between $4.29 and $9.74 per claim for this code.

90% bill between $1.89 and $13.85.

Top 1% bill above $48.07.

About This Procedure

HCPCS code 86039 was billed by 606 providers across 1.1M claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.76

Providers Billing

578

National Spending

$5.7M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86039

#ProviderTotal Paid
1Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$464K
2Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$287K
3Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$251K
4Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$203K
5Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$166K
6Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$159K
7Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$150K
8Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$119K
9Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$99K
10Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$95K
11Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$92K
12Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$81K
13Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$78K
14The Miriam Hospital

Providence, RI · General Acute Care Hospital

$71K
151770529513$71K
16Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$67K
171316983158$66K
181245494517$64K
19Multicare Health System

Tacoma, WA · Community/Behavioral Health

$63K
20Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$59K

Showing top 20 of 606 providers billing this code