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#689 of 11K

86780

HCPCS Procedure Code

HCPCS code 86780 is the #689 most-billed Medicaid procedure code, with $104.4M in payments across 11.2M claims from 2018–2024. The national median cost per claim is $9.83.

Total Paid

$104.4M

0.01% of all spending

Total Claims

11.2M

Providers

3K

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 86780? Based on 2K providers billing this code nationally.

Median

$9.83

Average

$11.38

Std Dev

$13.54

Max

$390.85

Percentile Distribution (Cost per Claim)

p10
$2.19
p25
$6.69
Median
$9.83
p75
$12.99
p90
$17.58
p95
$27.00
p99
$53.77

50% of providers bill between $6.69 and $12.99 per claim for this code.

90% bill between $2.19 and $17.58.

Top 1% bill above $53.77.

About This Procedure

HCPCS code 86780 was billed by 3K providers across 11.2M claims, totaling $104.4M in Medicaid payments from 2018–2024. This code was used for 10.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.83

Providers Billing

2K

National Spending

$104.4M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86780

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4.0M
2Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2.0M
3State Of Alabama Department Of Public Health

Prattville, AL · Clinical Medical Laboratory

$1.9M
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$1.6M
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.5M
6Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$1.5M
7Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$1.4M
8Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.4M
9Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$1.4M
10Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$1.4M
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$1.3M
12Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$1.2M
13Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$1.2M
141245382753$1.0M
15Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$933K
16Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$927K
17Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$891K
181033203393$845K
19Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$841K
201801826680$830K

Showing top 20 of 3K providers billing this code