86780
HCPCS Procedure Code
HCPCS code 86780 is the #689 most-billed Medicaid procedure code, with $104.4M in payments across 11.2M claims from 2018–2024. The national median cost per claim is $9.83.
Total Paid
$104.4M
0.01% of all spending
Total Claims
11.2M
Providers
3K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86780? Based on 2K providers billing this code nationally.
Median
$9.83
Average
$11.38
Std Dev
$13.54
Max
$390.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.69 and $12.99 per claim for this code.
90% bill between $2.19 and $17.58.
Top 1% bill above $53.77.
About This Procedure
HCPCS code 86780 was billed by 3K providers across 11.2M claims, totaling $104.4M in Medicaid payments from 2018–2024. This code was used for 10.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.83
Providers Billing
2K
National Spending
$104.4M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86780
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4.0M |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $2.0M |
| 3 | State Of Alabama Department Of Public Health Prattville, AL · Clinical Medical Laboratory | $1.9M |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.6M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.5M |
| 6 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $1.5M |
| 7 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $1.4M |
| 8 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.4M |
| 9 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1.4M |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $1.4M |
| 11 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $1.3M |
| 12 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $1.2M |
| 13 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $1.2M |
| 14 | 1245382753 | $1.0M |
| 15 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $933K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $927K |
| 17 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $891K |
| 18 | 1033203393 | $845K |
| 19 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $841K |
| 20 | 1801826680 | $830K |
Showing top 20 of 3K providers billing this code