86606
HCPCS Procedure Code
HCPCS code 86606 is the #5,698 most-billed Medicaid procedure code, with $151K in payments across 17K claims from 2018–2024. The national median cost per claim is $9.62. Costs vary widely — the 90th percentile is $19.53 per claim, 2.0× the median.
Total Paid
$151K
0.00% of all spending
Total Claims
17K
Providers
41
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86606? Based on 41 providers billing this code nationally.
Median
$9.62
Average
$10.64
Std Dev
$7.83
Max
$35.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.06 and $14.26 per claim for this code.
90% bill between $3.13 and $19.53.
Top 1% bill above $32.94.
About This Procedure
HCPCS code 86606 was billed by 41 providers across 17K claims, totaling $151K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.62
Providers Billing
41
National Spending
$151K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86606
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $66K |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $11K |
| 3 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $11K |
| 4 | 1891873303 | $8K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $7K |
| 6 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $6K |
| 7 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $6K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $5K |
| 9 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $5K |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $4K |
| 11 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $2K |
| 12 | 1447296272 | $2K |
| 13 | 1073587937 | $2K |
| 14 | 1780620526 | $2K |
| 15 | 1376548271 | $1K |
| 16 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $1K |
| 17 | 1942226006 | $880 |
| 18 | 1649241084 | $813 |
| 19 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $796 |
| 20 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $789 |
Showing top 20 of 41 providers billing this code