86146
HCPCS Procedure Code
HCPCS code 86146 is the #2,065 most-billed Medicaid procedure code, with $9.5M in payments across 488K claims from 2018–2024. The national median cost per claim is $23.89. Costs vary widely — the 90th percentile is $58.13 per claim, 2.4× the median.
Total Paid
$9.5M
0.00% of all spending
Total Claims
488K
Providers
265
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 86146? Based on 256 providers billing this code nationally.
Median
$23.89
Average
$27.64
Std Dev
$20.62
Max
$123.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.43 and $37.05 per claim for this code.
90% bill between $5.15 and $58.13.
Top 1% bill above $89.06.
About This Procedure
HCPCS code 86146 was billed by 265 providers across 488K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 362K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.89
Providers Billing
256
National Spending
$9.5M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86146
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.4M |
| 2 | 1245494517 | $591K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $496K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $484K |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $312K |
| 6 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $295K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $249K |
| 8 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $246K |
| 9 | 1447296272 | $236K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $231K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $230K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $227K |
| 13 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $222K |
| 14 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $216K |
| 15 | 1780620526 | $206K |
| 16 | 1215914585 | $129K |
| 17 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $123K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $114K |
| 19 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $111K |
| 20 | 1891873303 | $98K |
Showing top 20 of 265 providers billing this code