86317
HCPCS Procedure Code
HCPCS code 86317 is the #1,682 most-billed Medicaid procedure code, with $16.2M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $9.56. Costs vary widely — the 90th percentile is $32.72 per claim, 3.4× the median.
Total Paid
$16.2M
0.00% of all spending
Total Claims
2.2M
Providers
546
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86317? Based on 468 providers billing this code nationally.
Median
$9.56
Average
$15.62
Std Dev
$23.30
Max
$273.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.01 and $16.64 per claim for this code.
90% bill between $1.64 and $32.72.
Top 1% bill above $119.29.
About This Procedure
HCPCS code 86317 was billed by 546 providers across 2.2M claims, totaling $16.2M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.56
Providers Billing
468
National Spending
$16.2M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 86317
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2.1M |
| 2 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $1.4M |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.1M |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.1M |
| 5 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $544K |
| 6 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $537K |
| 7 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $455K |
| 8 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $326K |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $305K |
| 10 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $286K |
| 11 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $275K |
| 12 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $268K |
| 13 | 1316983158 | $243K |
| 14 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $242K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $231K |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $207K |
| 17 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $204K |
| 18 | 1619980430 | $184K |
| 19 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $182K |
| 20 | 1568488450 | $182K |
Showing top 20 of 546 providers billing this code