86787
HCPCS Procedure Code
HCPCS code 86787 is the #1,223 most-billed Medicaid procedure code, with $32.9M in payments across 4.3M claims from 2018–2024. The national median cost per claim is $8.98. Costs vary widely — the 90th percentile is $19.15 per claim, 2.1× the median.
Total Paid
$32.9M
0.00% of all spending
Total Claims
4.3M
Providers
1K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86787? Based on 1K providers billing this code nationally.
Median
$8.98
Average
$12.12
Std Dev
$20.03
Max
$446.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.30 and $12.96 per claim for this code.
90% bill between $2.21 and $19.15.
Top 1% bill above $93.90.
About This Procedure
HCPCS code 86787 was billed by 1K providers across 4.3M claims, totaling $32.9M in Medicaid payments from 2018–2024. This code was used for 4.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.98
Providers Billing
1K
National Spending
$32.9M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86787
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.5M |
| 2 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.8M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.7M |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.7M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.7M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.2M |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $728K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $451K |
| 9 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $449K |
| 10 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $445K |
| 11 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $419K |
| 12 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $412K |
| 13 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $385K |
| 14 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $384K |
| 15 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $352K |
| 16 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $348K |
| 17 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $348K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $314K |
| 19 | 1649299827 | $291K |
| 20 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $282K |
Showing top 20 of 1K providers billing this code