86695
Herpes simplex virus antibody detection test
Herpes simplex virus antibody detection test is the #1,436 most-billed Medicaid procedure code, with $23.4M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $9.66.
Total Paid
$23.4M
0.00% of all spending
Total Claims
3.2M
Providers
843
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 86695? Based on 781 providers billing this code nationally.
Median
$9.66
Average
$11.34
Std Dev
$13.78
Max
$185.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.41 and $12.92 per claim for this code.
90% bill between $2.50 and $17.36.
Top 1% bill above $68.10.
About This Procedure
HCPCS code 86695 (Herpes simplex virus antibody detection test) was billed by 843 providers across 3.2M claims, totaling $23.4M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.66
Providers Billing
781
National Spending
$23.4M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86695
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.9M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.3M |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.1M |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $1.0M |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $872K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $866K |
| 7 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $708K |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $674K |
| 9 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $624K |
| 10 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $507K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $446K |
| 12 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $400K |
| 13 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $391K |
| 14 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $383K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $312K |
| 16 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $312K |
| 17 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $305K |
| 18 | 1881626943 | $300K |
| 19 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $290K |
| 20 | 1235186800 | $290K |
Showing top 20 of 843 providers billing this code