86800
HCPCS Procedure Code
HCPCS code 86800 is the #1,661 most-billed Medicaid procedure code, with $16.7M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $10.63.
Total Paid
$16.7M
0.00% of all spending
Total Claims
2.1M
Providers
817
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86800? Based on 774 providers billing this code nationally.
Median
$10.63
Average
$10.92
Std Dev
$8.08
Max
$115.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.46 and $14.13 per claim for this code.
90% bill between $2.06 and $17.77.
Top 1% bill above $37.59.
About This Procedure
HCPCS code 86800 was billed by 817 providers across 2.1M claims, totaling $16.7M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.63
Providers Billing
774
National Spending
$16.7M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86800
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $917K |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $757K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $751K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $700K |
| 5 | 1467586792 | $642K |
| 6 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $634K |
| 7 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $577K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $472K |
| 9 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $426K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $329K |
| 11 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $316K |
| 12 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $249K |
| 13 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $246K |
| 14 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $241K |
| 15 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $228K |
| 16 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $226K |
| 17 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $205K |
| 18 | 1598934200 | $189K |
| 19 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $181K |
| 20 | 1942616024 | $177K |
Showing top 20 of 817 providers billing this code