87486
HCPCS Procedure Code
HCPCS code 87486 is the #792 most-billed Medicaid procedure code, with $79.0M in payments across 3.9M claims from 2018–2024. The national median cost per claim is $19.16. Costs vary widely — the 90th percentile is $41.10 per claim, 2.1× the median.
Total Paid
$79.0M
0.01% of all spending
Total Claims
3.9M
Providers
2K
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 87486? Based on 1K providers billing this code nationally.
Median
$19.16
Average
$24.55
Std Dev
$42.83
Max
$784.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.30 and $29.67 per claim for this code.
90% bill between $1.92 and $41.10.
Top 1% bill above $166.55.
About This Procedure
HCPCS code 87486 was billed by 2K providers across 3.9M claims, totaling $79.0M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.16
Providers Billing
1K
National Spending
$79.0M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87486
| # | Provider | Total Paid |
|---|---|---|
| 1 | Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory | $4.7M |
| 2 | Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory | $3.9M |
| 3 | Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory | $3.8M |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $2.6M |
| 5 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $2.4M |
| 6 | 1255875746 | $2.3M |
| 7 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $2.3M |
| 8 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $2.1M |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $1.3M |
| 10 | 1598266421 | $1.3M |
| 11 | 1861900698 | $1.3M |
| 12 | 1649829987 | $1.2M |
| 13 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $1.0M |
| 14 | 1417919531 | $963K |
| 15 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $943K |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $916K |
| 17 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $866K |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $858K |
| 19 | 1033239413 | $811K |
| 20 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $765K |
Showing top 20 of 2K providers billing this code