#1794 of 11K

86665

HCPCS Procedure Code

HCPCS code 86665 is the #1,794 most-billed Medicaid procedure code, with $13.7M in payments across 878K claims from 2018–2024. The national median cost per claim is $16.54. Costs vary widely — the 90th percentile is $35.22 per claim, 2.1× the median.

Total Paid

$13.7M

0.00% of all spending

Total Claims

878K

Providers

517

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 86665? Based on 499 providers billing this code nationally.

Median

$16.54

Average

$19.15

Std Dev

$19.13

Max

$297.95

Percentile Distribution (Cost per Claim)

p10

$4.36

p25

$9.01

Median

$16.54

p75

$24.47

p90

$35.22

p95

$40.37

p99

$81.17

50% of providers bill between $9.01 and $24.47 per claim for this code.

90% bill between $4.36 and $35.22.

Top 1% bill above $81.17.

About This Procedure

HCPCS code 86665 was billed by 517 providers across 878K claims, totaling $13.7M in Medicaid payments from 2018–2024. This code was used for 753K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.54

Providers Billing

499

National Spending

$13.7M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86665

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$935K	$12.35	0.7× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$891K	$14.83	0.9× median	Below Median
3	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$780K	$17.61	1.1× median	Above Median
4	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$699K	$21.39	1.3× median	Above Median
5	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$391K	$17.87	1.1× median	Above Median
6	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$383K	$20.16	1.2× median	Above Median
7	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$356K	$18.11	1.1× median	Above Median
8	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$333K	$26.15	1.6× median	Above 75th
9	Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory	$312K	$30.79	1.9× median	Above 75th
10	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$307K	$11.96	0.7× median	Below Median
11	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$269K	$15.54	0.9× median	Below Median
12	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$255K	$24.31	1.5× median	Above Median
13	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$241K	$16.42	1.0× median	Below Median
14	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$227K	$21.81	1.3× median	Above Median
15	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$217K	$21.45	1.3× median	Above Median
16	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$200K	$12.87	0.8× median	Below Median
17	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$195K	$13.37	0.8× median	Below Median
18	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$187K	$20.36	1.2× median	Above Median
19	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$167K	$19.36	1.2× median	Above Median
20	1235186800	$158K	$9.90	0.6× median	Below Median

Showing top 20 of 517 providers billing this code

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