86705
HCPCS Procedure Code
HCPCS code 86705 is the #2,404 most-billed Medicaid procedure code, with $6.0M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $7.27. Costs vary widely — the 90th percentile is $14.73 per claim, 2.0× the median.
Total Paid
$6.0M
0.00% of all spending
Total Claims
1.0M
Providers
705
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86705? Based on 605 providers billing this code nationally.
Median
$7.27
Average
$9.25
Std Dev
$16.00
Max
$304.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.99 and $10.66 per claim for this code.
90% bill between $1.52 and $14.73.
Top 1% bill above $56.68.
About This Procedure
HCPCS code 86705 was billed by 705 providers across 1.0M claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 972K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.27
Providers Billing
605
National Spending
$6.0M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86705
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $671K |
| 2 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $437K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $328K |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $251K |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $221K |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $212K |
| 7 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $160K |
| 8 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $156K |
| 9 | Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory | $143K |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $105K |
| 11 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $99K |
| 12 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $97K |
| 13 | 1821360017 | $96K |
| 14 | Bluewater Toxicology Llc Mt Washington, KY · Clinical Medical Laboratory | $85K |
| 15 | 1538570528 | $78K |
| 16 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $72K |
| 17 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $65K |
| 18 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $59K |
| 19 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $57K |
| 20 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $56K |
Showing top 20 of 705 providers billing this code