86706
HCPCS Procedure Code
HCPCS code 86706 is the #994 most-billed Medicaid procedure code, with $49.6M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $5.39. Costs vary widely — the 90th percentile is $19.73 per claim, 3.7× the median.
Total Paid
$49.6M
0.00% of all spending
Total Claims
8.1M
Providers
4K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86706? Based on 3K providers billing this code nationally.
Median
$5.39
Average
$14.87
Std Dev
$40.16
Max
$709.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.78 and $9.68 per claim for this code.
90% bill between $0.13 and $19.73.
Top 1% bill above $192.62.
About This Procedure
HCPCS code 86706 was billed by 4K providers across 8.1M claims, totaling $49.6M in Medicaid payments from 2018–2024. This code was used for 7.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.39
Providers Billing
3K
National Spending
$49.6M
Avg/Median Ratio
2.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86706
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $4.4M |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $2.2M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $2.1M |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.6M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.6M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.3M |
| 7 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $729K |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $667K |
| 9 | 1144202003 | $621K |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $603K |
| 11 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $534K |
| 12 | 1245720820 | $524K |
| 13 | 1972625499 | $491K |
| 14 | 1124024922 | $463K |
| 15 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $447K |
| 16 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $446K |
| 17 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $428K |
| 18 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $401K |
| 19 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $396K |
| 20 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $396K |
Showing top 20 of 4K providers billing this code