81291
HCPCS Procedure Code
HCPCS code 81291 is the #3,022 most-billed Medicaid procedure code, with $2.7M in payments across 455K claims from 2018–2024. The national median cost per claim is $6.85. Costs vary widely — the 90th percentile is $29.08 per claim, 4.2× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
455K
Providers
165
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 81291? Based on 121 providers billing this code nationally.
Median
$6.85
Average
$12.46
Std Dev
$16.13
Max
$96.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.59 and $13.85 per claim for this code.
90% bill between $1.23 and $29.08.
Top 1% bill above $69.41.
About This Procedure
HCPCS code 81291 was billed by 165 providers across 455K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 409K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.85
Providers Billing
121
National Spending
$2.7M
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81291
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235363052 | $1.7M |
| 2 | 1467850859 | $186K |
| 3 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $164K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $74K |
| 5 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $68K |
| 6 | 1437585262 | $37K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $27K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $26K |
| 9 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $26K |
| 10 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $23K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $21K |
| 12 | Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory | $20K |
| 13 | 1821360017 | $20K |
| 14 | 1518415991 | $19K |
| 15 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $18K |
| 16 | 1639541295 | $17K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $17K |
| 18 | 1750373908 | $17K |
| 19 | 1275971707 | $17K |
| 20 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $15K |
Showing top 20 of 165 providers billing this code