86753
HCPCS Procedure Code
HCPCS code 86753 is the #3,753 most-billed Medicaid procedure code, with $1.2M in payments across 130K claims from 2018–2024. The national median cost per claim is $8.88.
Total Paid
$1.2M
0.00% of all spending
Total Claims
130K
Providers
99
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86753? Based on 96 providers billing this code nationally.
Median
$8.88
Average
$11.04
Std Dev
$12.65
Max
$83.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.89 and $11.09 per claim for this code.
90% bill between $3.41 and $14.60.
Top 1% bill above $72.84.
About This Procedure
HCPCS code 86753 was billed by 99 providers across 130K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 113K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.88
Providers Billing
96
National Spending
$1.2M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86753
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $194K |
| 2 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $129K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $107K |
| 4 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $89K |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $82K |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $69K |
| 7 | 1750373908 | $47K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $47K |
| 9 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $42K |
| 10 | 1780620526 | $39K |
| 11 | 1447296272 | $35K |
| 12 | 1124130653 | $32K |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $32K |
| 14 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $26K |
| 15 | 1760454334 | $21K |
| 16 | 1710028022 | $21K |
| 17 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $20K |
| 18 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $18K |
| 19 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $16K |
| 20 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $12K |
Showing top 20 of 99 providers billing this code