#444 of 11K

86480

Tuberculosis test, cell-mediated immunity

Tuberculosis test, cell-mediated immunity is the #444 most-billed Medicaid procedure code, with $222.7M in payments across 7.1M claims from 2018–2024. The national median cost per claim is $38.35.

Total Paid

$222.7M

0.02% of all spending

Total Claims

7.1M

Providers

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for 86480? Based on 1K providers billing this code nationally.

Median

$38.35

Average

$38.73

Std Dev

$27.92

Max

$369.05

Percentile Distribution (Cost per Claim)

p10

$7.67

p25

$22.79

Median

$38.35

p75

$52.10

p90

$62.54

p95

$72.17

p99

$109.09

50% of providers bill between $22.79 and $52.10 per claim for this code.

90% bill between $7.67 and $62.54.

Top 1% bill above $109.09.

About This Procedure

HCPCS code 86480 (Tuberculosis test, cell-mediated immunity) was billed by 1K providers across 7.1M claims, totaling $222.7M in Medicaid payments from 2018–2024. This code was used for 6.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.35

Providers Billing

National Spending

$222.7M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86480

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$18.5M	$26.47	0.7× median	Below Median
2	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$17.2M	$33.93	0.9× median	Below Median
3	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$14.8M	$43.06	1.1× median	Above Median
4	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$13.5M	$33.75	0.9× median	Below Median
5	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$12.4M	$17.30	0.5× median	Below Median
6	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$10.5M	$31.80	0.8× median	Below Median
7	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$6.5M	$43.82	1.1× median	Above Median
8	Unilab Corporation Sacramento, CA · Clinical Medical Laboratory	$6.4M	$19.33	0.5× median	Below Median
9	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$4.5M	$33.27	0.9× median	Below Median
10	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$3.7M	$40.65	1.1× median	Above Median
11	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$3.6M	$15.10	0.4× median	Below Median
12	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$3.0M	$38.85	1.0× median	Above Median
13	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$3.0M	$62.13	1.6× median	Above 75th
14	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$2.5M	$31.99	0.8× median	Below Median
15	Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory	$2.4M	$53.69	1.4× median	Above 75th
16	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$2.4M	$50.98	1.3× median	Above Median
17	Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural	$2.1M	$260.06	6.8× median	Top 1%
18	Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory	$2.1M	$28.42	0.7× median	Below Median
19	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$1.8M	$37.11	1.0× median	Below Median
20	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$1.8M	$30.83	0.8× median	Below Median

Showing top 20 of 1K providers billing this code

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