86701
HCPCS Procedure Code
HCPCS code 86701 is the #2,291 most-billed Medicaid procedure code, with $7.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $8.03.
Total Paid
$7.1M
0.00% of all spending
Total Claims
1.1M
Providers
911
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86701? Based on 843 providers billing this code nationally.
Median
$8.03
Average
$7.79
Std Dev
$6.63
Max
$98.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.37 and $9.09 per claim for this code.
90% bill between $2.00 and $9.83.
Top 1% bill above $36.66.
About This Procedure
HCPCS code 86701 was billed by 911 providers across 1.1M claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 987K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.03
Providers Billing
843
National Spending
$7.1M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86701
| # | Provider | Total Paid |
|---|---|---|
| 1 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $357K |
| 2 | 1477640258 | $256K |
| 3 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $237K |
| 4 | 1972625499 | $200K |
| 5 | 1790750529 | $144K |
| 6 | 1215930987 | $139K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $128K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $123K |
| 9 | 1700106291 | $123K |
| 10 | 1578731618 | $119K |
| 11 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $112K |
| 12 | 1568405793 | $111K |
| 13 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $111K |
| 14 | 1104961903 | $102K |
| 15 | 1396316212 | $98K |
| 16 | 1124060843 | $97K |
| 17 | 1073587937 | $88K |
| 18 | 1386764744 | $77K |
| 19 | 1548374549 | $73K |
| 20 | 1952869612 | $70K |
Showing top 20 of 911 providers billing this code