#614 of 11K

80081

HCPCS Procedure Code

HCPCS code 80081 is the #614 most-billed Medicaid procedure code, with $125.6M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $59.44.

Total Paid

$125.6M

0.01% of all spending

Total Claims

2.8M

Providers

427

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 80081? Based on 395 providers billing this code nationally.

Median

$59.44

Average

$59.56

Std Dev

$33.50

Max

$291.51

Percentile Distribution (Cost per Claim)

p10

$20.80

p25

$37.69

Median

$59.44

p75

$76.12

p90

$92.90

p95

$105.44

p99

$179.47

50% of providers bill between $37.69 and $76.12 per claim for this code.

90% bill between $20.80 and $92.90.

Top 1% bill above $179.47.

About This Procedure

HCPCS code 80081 was billed by 427 providers across 2.8M claims, totaling $125.6M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.44

Providers Billing

395

National Spending

$125.6M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80081

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$11.6M	$36.05	0.6× median	Below Median
2	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$10.8M	$51.24	0.9× median	Below Median
3	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$7.1M	$43.71	0.7× median	Below Median
4	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$7.0M	$43.47	0.7× median	Below Median
5	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$4.7M	$58.78	1.0× median	Below Median
6	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$4.6M	$35.75	0.6× median	Below Median
7	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$4.6M	$53.63	0.9× median	Below Median
8	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$4.4M	$52.87	0.9× median	Below Median
9	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$4.4M	$42.67	0.7× median	Below Median
10	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$4.4M	$40.80	0.7× median	Below Median
11	1235186800	$3.7M	$41.29	0.7× median	Below Median
12	Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory	$3.6M	$43.08	0.7× median	Below Median
13	1265418669	$3.3M	$47.75	0.8× median	Below Median
14	1770529513	$3.0M	$68.60	1.2× median	Above Median
15	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$3.0M	$30.75	0.5× median	Below Median
16	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$2.8M	$42.13	0.7× median	Below Median
17	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$2.6M	$32.12	0.5× median	Below Median
18	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$2.4M	$46.86	0.8× median	Below Median
19	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$2.0M	$55.20	0.9× median	Below Median
20	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$2.0M	$38.14	0.6× median	Below Median

Showing top 20 of 427 providers billing this code

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