81307
HCPCS Procedure Code
HCPCS code 81307 is the #2,302 most-billed Medicaid procedure code, with $6.9M in payments across 73K claims from 2018–2024. The national median cost per claim is $76.83. Costs vary widely — the 90th percentile is $438.74 per claim, 5.7× the median.
Total Paid
$6.9M
0.00% of all spending
Total Claims
73K
Providers
33
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for 81307? Based on 24 providers billing this code nationally.
Median
$76.83
Average
$140.54
Std Dev
$172.93
Max
$586.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.07 and $147.41 per claim for this code.
90% bill between $17.75 and $438.74.
Top 1% bill above $575.93.
About This Procedure
HCPCS code 81307 was billed by 33 providers across 73K claims, totaling $6.9M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.83
Providers Billing
24
National Spending
$6.9M
Avg/Median Ratio
1.83×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81307
| # | Provider | Total Paid |
|---|---|---|
| 1 | Myriad Genetic Laboratories, Inc. Salt Lake City, UT · Clinical Medical Laboratory | $5.1M |
| 2 | 1013973866 | $887K |
| 3 | 1790023547 | $286K |
| 4 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $218K |
| 5 | 1457977209 | $172K |
| 6 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $70K |
| 7 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $53K |
| 8 | 1861568784 | $41K |
| 9 | 1447843750 | $26K |
| 10 | 1558067199 | $16K |
| 11 | 1518713072 | $13K |
| 12 | 1366820870 | $12K |
| 13 | 1396384251 | $10K |
| 14 | 1659726487 | $5K |
| 15 | 1528653334 | $4K |
| 16 | 1518366426 | $3K |
| 17 | 1760189898 | $3K |
| 18 | 1497175905 | $3K |
| 19 | 1750373908 | $2K |
| 20 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $2K |
Showing top 20 of 33 providers billing this code