#3785 of 11K

87076

HCPCS Procedure Code

HCPCS code 87076 is the #3,785 most-billed Medicaid procedure code, with $1.2M in payments across 169K claims from 2018–2024. The national median cost per claim is $4.86. Costs vary widely — the 90th percentile is $9.94 per claim, 2.0× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

169K

Providers

189

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 87076? Based on 169 providers billing this code nationally.

Median

$4.86

Average

$8.03

Std Dev

$29.09

Max

$369.02

Percentile Distribution (Cost per Claim)

p10

$0.82

p25

$1.99

Median

$4.86

p75

$7.21

p90

$9.94

p95

$13.30

p99

$51.56

50% of providers bill between $1.99 and $7.21 per claim for this code.

90% bill between $0.82 and $9.94.

Top 1% bill above $51.56.

About This Procedure

HCPCS code 87076 was billed by 189 providers across 169K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 149K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.86

Providers Billing

169

National Spending

$1.2M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87076

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639264575	$209K	$34.45	7.1× median	Top 10%
2	1568469997	$124K	$28.41	5.8× median	Top 10%
3	1700831724	$71K	$369.02	75.9× median	Top 1%
4	1609869916	$47K	$9.89	2.0× median	Above 75th
5	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$45K	$2.98	0.6× median	Below Median
6	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$33K	$2.98	0.6× median	Below Median
7	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$31K	$4.99	1.0× median	Above Median
8	1306842521	$30K	$10.17	2.1× median	Top 10%
9	1306339460	$25K	$23.18	4.8× median	Top 10%
10	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$25K	$5.43	1.1× median	Above Median
11	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$23K	$5.01	1.0× median	Above Median
12	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$23K	$5.59	1.1× median	Above Median
13	1316983158	$22K	$6.37	1.3× median	Above Median
14	1891792495	$19K	$8.02	1.7× median	Above 75th
15	1992176655	$19K	$7.81	1.6× median	Above 75th
16	1598747651	$18K	$6.77	1.4× median	Above Median
17	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$17K	$5.67	1.2× median	Above Median
18	1649209263	$17K	$14.20	2.9× median	Top 10%
19	1073567608	$17K	$9.36	1.9× median	Above 75th
20	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$16K	$6.25	1.3× median	Above Median

Showing top 20 of 189 providers billing this code

Related Procedures

87086Urine culture, colony count, with identification$287.7M 87070Bacterial culture, any source except blood or urine$134.4M 87081Culture screening for pathogenic organisms$103.9M 87077Bacterial culture, aerobic, additional methods required$75.2M 87075$8.4M

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