86803
Hepatitis C antibody
Hepatitis C antibody is the #491 most-billed Medicaid procedure code, with $187.0M in payments across 23.2M claims from 2018–2024. The national median cost per claim is $10.17. Costs vary widely — the 90th percentile is $20.62 per claim, 2.0× the median.
Total Paid
$187.0M
0.02% of all spending
Total Claims
23.2M
Providers
5K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 86803? Based on 4K providers billing this code nationally.
Median
$10.17
Average
$15.17
Std Dev
$31.53
Max
$706.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.64 and $14.34 per claim for this code.
90% bill between $1.00 and $20.62.
Top 1% bill above $164.08.
About This Procedure
HCPCS code 86803 (Hepatitis C antibody) was billed by 5K providers across 23.2M claims, totaling $187.0M in Medicaid payments from 2018–2024. This code was used for 22.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.17
Providers Billing
4K
National Spending
$187.0M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86803
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $8.9M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $8.7M |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $6.4M |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $6.1M |
| 5 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $6.1M |
| 6 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $5.4M |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $4.7M |
| 8 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $3.2M |
| 9 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $3.0M |
| 10 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $2.9M |
| 11 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $2.3M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $1.9M |
| 13 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $1.8M |
| 14 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $1.7M |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1.7M |
| 16 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1.6M |
| 17 | 1316983158 | $1.6M |
| 18 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $1.6M |
| 19 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $1.6M |
| 20 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $1.5M |
Showing top 20 of 5K providers billing this code