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#994 of 11K

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)

p10
$0.13
p25
$0.78
Median
$5.39
p75
$9.68
p90
$19.73
p95
$91.59
p99
$192.62

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

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$4.4M
2Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$2.2M
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2.1M
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.6M
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.6M
6Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.3M
7Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$729K
8Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$667K
91144202003$621K
10Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$603K
11Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$534K
121245720820$524K
131972625499$491K
141124024922$463K
15Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$447K
16Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$446K
17Unilab Corporation

Sacramento, CA · Clinical Medical Laboratory

$428K
18Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$401K
19Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$396K
20Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$396K

Showing top 20 of 4K providers billing this code