86596
HCPCS Procedure Code
HCPCS code 86596 is the #7,155 most-billed Medicaid procedure code, with $27K in payments across 2K claims from 2018–2024. The national median cost per claim is $11.28. Costs vary widely — the 90th percentile is $30.85 per claim, 2.7× the median.
Total Paid
$27K
0.00% of all spending
Total Claims
2K
Providers
10
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 86596? Based on 9 providers billing this code nationally.
Median
$11.28
Average
$14.77
Std Dev
$11.84
Max
$36.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.63 and $20.55 per claim for this code.
90% bill between $4.03 and $30.85.
Top 1% bill above $36.18.
About This Procedure
HCPCS code 86596 was billed by 10 providers across 2K claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.28
Providers Billing
9
National Spending
$27K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86596
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $10K |
| 2 | 1780620526 | $6K |
| 3 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $4K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $4K |
| 5 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $1K |
| 6 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $467 |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $382 |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $228 |
| 9 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $186 |
| 10 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $0 |
Showing top 10 of 10 providers billing this code