#898 of 11K

86592

HCPCS Procedure Code

HCPCS code 86592 is the #898 most-billed Medicaid procedure code, with $61.4M in payments across 24.8M claims from 2018–2024. The national median cost per claim is $3.35.

Total Paid

$61.4M

0.01% of all spending

Total Claims

24.8M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 86592? Based on 3K providers billing this code nationally.

Median

$3.35

Average

$5.19

Std Dev

$25.71

Max

$1,239.30

Percentile Distribution (Cost per Claim)

p10

$0.46

p25

$1.87

Median

$3.35

p75

$4.15

p90

$6.32

p95

$12.46

p99

$42.21

50% of providers bill between $1.87 and $4.15 per claim for this code.

90% bill between $0.46 and $6.32.

Top 1% bill above $42.21.

About This Procedure

HCPCS code 86592 was billed by 4K providers across 24.8M claims, totaling $61.4M in Medicaid payments from 2018–2024. This code was used for 23.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.35

Providers Billing

National Spending

$61.4M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 86592

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$5.1M	$1.83	0.5× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$3.8M	$2.64	0.8× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$2.8M	$3.24	1.0× median	Below Median
4	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$2.5M	$2.18	0.7× median	Below Median
5	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$2.2M	$1.45	0.4× median	Below Median
6	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$1.8M	$2.27	0.7× median	Below Median
7	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$1.6M	$2.06	0.6× median	Below Median
8	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$1.6M	$3.25	1.0× median	Below Median
9	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$1.5M	$2.45	0.7× median	Below Median
10	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$992K	$0.88	0.3× median	Below Median
11	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$886K	$3.56	1.1× median	Above Median
12	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$846K	$2.16	0.6× median	Below Median
13	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$734K	$2.32	0.7× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$644K	$1.90	0.6× median	Below Median
15	Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural	$615K	$126.74	37.8× median	Top 1%
16	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$605K	$2.04	0.6× median	Below Median
17	Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist	$599K	$353.62	105.6× median	Top 1%
18	Carolinas Medical Center Charlotte, NC · General Acute Care Hospital	$569K	$10.69	3.2× median	Top 10%
19	Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory	$560K	$2.41	0.7× median	Below Median
20	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$548K	$0.98	0.3× median	Below Median

Showing top 20 of 4K providers billing this code

Related Procedures

86593$3.6M 86596$27K 86602$23K 86590$0

← All procedures Top providers →