86696
HCPCS Procedure Code
HCPCS code 86696 is the #1,141 most-billed Medicaid procedure code, with $37.8M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $13.89.
Total Paid
$37.8M
0.00% of all spending
Total Claims
3.6M
Providers
868
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 86696? Based on 806 providers billing this code nationally.
Median
$13.89
Average
$14.44
Std Dev
$10.32
Max
$131.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.25 and $17.98 per claim for this code.
90% bill between $4.20 and $21.78.
Top 1% bill above $48.44.
About This Procedure
HCPCS code 86696 was billed by 868 providers across 3.6M claims, totaling $37.8M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.89
Providers Billing
806
National Spending
$37.8M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86696
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3.3M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $2.1M |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2.0M |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.7M |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.5M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.3M |
| 7 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $1.3M |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $1.0M |
| 9 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $1.0M |
| 10 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $825K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $742K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $666K |
| 13 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $645K |
| 14 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $544K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $538K |
| 16 | 1235186800 | $533K |
| 17 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $519K |
| 18 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $503K |
| 19 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $497K |
| 20 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $473K |
Showing top 20 of 868 providers billing this code