86366
HCPCS Procedure Code
HCPCS code 86366 is the #6,243 most-billed Medicaid procedure code, with $81K in payments across 1,212 claims from 2018–2024. The national median cost per claim is $18.11. Costs vary widely — the 90th percentile is $110.74 per claim, 6.1× the median.
Total Paid
$81K
0.00% of all spending
Total Claims
1,212
Providers
9
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 86366? Based on 9 providers billing this code nationally.
Median
$18.11
Average
$54.08
Std Dev
$97.43
Max
$308.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.02 and $45.18 per claim for this code.
90% bill between $7.74 and $110.74.
Top 1% bill above $289.10.
About This Procedure
HCPCS code 86366 was billed by 9 providers across 1,212 claims, totaling $81K in Medicaid payments from 2018–2024. This code was used for 1,156 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.11
Providers Billing
9
National Spending
$81K
Avg/Median Ratio
2.99×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86366
| # | Provider | Total Paid |
|---|---|---|
| 1 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $41K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $27K |
| 3 | 1891873303 | $7K |
| 4 | 1962489237 | $2K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1K |
| 6 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $543 |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $282 |
| 8 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $150 |
| 9 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $47 |
Showing top 9 of 9 providers billing this code