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#2302 of 11K

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)

p10
$17.75
p25
$34.07
Median
$76.83
p75
$147.41
p90
$438.74
p95
$526.17
p99
$575.93

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

#ProviderTotal Paid
1Myriad Genetic Laboratories, Inc.

Salt Lake City, UT · Clinical Medical Laboratory

$5.1M
21013973866$887K
31790023547$286K
4Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$218K
51457977209$172K
6Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$70K
7Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$53K
81861568784$41K
91447843750$26K
101558067199$16K
111518713072$13K
121366820870$12K
131396384251$10K
141659726487$5K
151528653334$4K
161518366426$3K
171760189898$3K
181497175905$3K
191750373908$2K
20Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$2K

Showing top 20 of 33 providers billing this code