86666
HCPCS Procedure Code
HCPCS code 86666 is the #3,377 most-billed Medicaid procedure code, with $1.8M in payments across 137K claims from 2018–2024. The national median cost per claim is $12.05. Costs vary widely — the 90th percentile is $33.52 per claim, 2.8× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
137K
Providers
115
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 86666? Based on 115 providers billing this code nationally.
Median
$12.05
Average
$16.82
Std Dev
$18.99
Max
$132.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.55 and $17.42 per claim for this code.
90% bill between $4.10 and $33.52.
Top 1% bill above $106.76.
About This Procedure
HCPCS code 86666 was billed by 115 providers across 137K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 114K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.05
Providers Billing
115
National Spending
$1.8M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86666
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $266K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $218K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $189K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $143K |
| 5 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $117K |
| 6 | 1447296272 | $76K |
| 7 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $74K |
| 8 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $64K |
| 9 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $53K |
| 10 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $42K |
| 11 | 1710028022 | $37K |
| 12 | 1750373908 | $36K |
| 13 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $32K |
| 14 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $32K |
| 15 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $29K |
| 16 | 1861404121 | $28K |
| 17 | 1235186800 | $25K |
| 18 | 1770529513 | $20K |
| 19 | 1235234402 | $20K |
| 20 | 1760454334 | $19K |
Showing top 20 of 115 providers billing this code