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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $464K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $287K |
| 3 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $251K |
| 4 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $203K |
| 5 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $166K |
| 6 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $159K |
| 7 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $150K |
| 8 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $119K |
| 9 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $99K |
| 10 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $95K |
| 11 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $92K |
| 12 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $81K |
| 13 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $78K |
| 14 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $71K |
| 15 | 1770529513 | $71K |
| 16 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $67K |
| 17 | 1316983158 | $66K |
| 18 | 1245494517 | $64K |
| 19 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $63K |
| 20 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $59K |
Showing top 20 of 606 providers billing this code