87070
Bacterial culture, any source except blood or urine
Bacterial culture, any source except blood or urine is the #596 most-billed Medicaid procedure code, with $134.4M in payments across 17.0M claims from 2018–2024. The national median cost per claim is $5.89. Costs vary widely — the 90th percentile is $16.76 per claim, 2.8× the median.
Total Paid
$134.4M
0.01% of all spending
Total Claims
17.0M
Providers
5K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 87070? Based on 4K providers billing this code nationally.
Median
$5.89
Average
$10.07
Std Dev
$25.79
Max
$617.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.65 and $9.02 per claim for this code.
90% bill between $0.77 and $16.76.
Top 1% bill above $97.45.
About This Procedure
HCPCS code 87070 (Bacterial culture, any source except blood or urine) was billed by 5K providers across 17.0M claims, totaling $134.4M in Medicaid payments from 2018–2024. This code was used for 15.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.89
Providers Billing
4K
National Spending
$134.4M
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 87070
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $16.4M |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $2.7M |
| 3 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $2.4M |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.0M |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.8M |
| 6 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $1.8M |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.5M |
| 8 | 1417919531 | $1.5M |
| 9 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.2M |
| 10 | 1558452730 | $1.2M |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.2M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $1.2M |
| 13 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $1.0M |
| 14 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $1.0M |
| 15 | 1457309247 | $937K |
| 16 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $887K |
| 17 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $872K |
| 18 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $857K |
| 19 | 1831269539 | $834K |
| 20 | 1467448498 | $811K |
Showing top 20 of 5K providers billing this code