86157
HCPCS Procedure Code
HCPCS code 86157 is the #8,061 most-billed Medicaid procedure code, with $7K in payments across 1K claims from 2018–2024. The national median cost per claim is $5.38.
Total Paid
$7K
0.00% of all spending
Total Claims
1K
Providers
8
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 86157? Based on 8 providers billing this code nationally.
Median
$5.38
Average
$4.73
Std Dev
$3.05
Max
$8.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.13 and $7.27 per claim for this code.
90% bill between $1.00 and $7.82.
Top 1% bill above $8.00.
About This Procedure
HCPCS code 86157 was billed by 8 providers across 1K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 977 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.38
Providers Billing
8
National Spending
$7K
Avg/Median Ratio
0.88×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86157
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508040718 | $4K |
| 2 | 1447233861 | $2K |
| 3 | 1689628588 | $377 |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $232 |
| 5 | 1043447030 | $142 |
| 6 | 1235265851 | $97 |
| 7 | 1891873303 | $59 |
| 8 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $24 |
Showing top 8 of 8 providers billing this code