86757
HCPCS Procedure Code
HCPCS code 86757 is the #3,515 most-billed Medicaid procedure code, with $1.6M in payments across 91K claims from 2018–2024. The national median cost per claim is $18.23.
Total Paid
$1.6M
0.00% of all spending
Total Claims
91K
Providers
76
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 86757? Based on 76 providers billing this code nationally.
Median
$18.23
Average
$20.81
Std Dev
$12.56
Max
$78.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.38 and $26.97 per claim for this code.
90% bill between $8.38 and $35.16.
Top 1% bill above $61.87.
About This Procedure
HCPCS code 86757 was billed by 76 providers across 91K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 74K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.23
Providers Billing
76
National Spending
$1.6M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86757
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $474K |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $138K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $90K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $87K |
| 5 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $70K |
| 6 | 1770529513 | $67K |
| 7 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $61K |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $57K |
| 9 | 1235186800 | $56K |
| 10 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $49K |
| 11 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $48K |
| 12 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $41K |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $36K |
| 14 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $28K |
| 15 | 1881697464 | $23K |
| 16 | 1497773337 | $20K |
| 17 | 1447231956 | $18K |
| 18 | 1548370745 | $18K |
| 19 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $18K |
| 20 | 1265418669 | $15K |
Showing top 20 of 76 providers billing this code