#4391 of 11K

86886

HCPCS Procedure Code

HCPCS code 86886 is the #4,391 most-billed Medicaid procedure code, with $617K in payments across 111K claims from 2018–2024. The national median cost per claim is $3.56.

Total Paid

$617K

0.00% of all spending

Total Claims

111K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 86886? Based on 91 providers billing this code nationally.

Median

$3.56

Average

$4.83

Std Dev

$8.07

Max

$70.63

Percentile Distribution (Cost per Claim)

p10

$0.64

p25

$1.44

Median

$3.56

p75

$5.00

p90

$6.58

p95

$11.44

p99

$28.32

50% of providers bill between $1.44 and $5.00 per claim for this code.

90% bill between $0.64 and $6.58.

Top 1% bill above $28.32.

About This Procedure

HCPCS code 86886 was billed by 92 providers across 111K claims, totaling $617K in Medicaid payments from 2018–2024. This code was used for 100K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.56

Providers Billing

National Spending

$617K

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86886

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1033163092	$266K	$70.63	19.8× median	Top 1%
2	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$40K	$2.81	0.8× median	Below Median
3	1518991744	$34K	$22.62	6.4× median	Top 10%
4	1467586792	$27K	$5.09	1.4× median	Above 75th
5	1841241833	$25K	$11.15	3.1× median	Top 10%
6	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$18K	$4.63	1.3× median	Above Median
7	1164402038	$17K	$5.05	1.4× median	Above 75th
8	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$16K	$2.90	0.8× median	Below Median
9	1457382483	$14K	$5.18	1.5× median	Above 75th
10	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$11K	$4.42	1.2× median	Above Median
11	1477584993	$9K	$2.38	0.7× median	Below Median
12	1235186800	$9K	$3.56	1.0× median	Below Median
13	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$9K	$2.96	0.8× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$7K	$2.60	0.7× median	Below Median
15	1730171265	$7K	$5.88	1.7× median	Above 75th
16	1598975120	$7K	$19.14	5.4× median	Top 10%
17	1447233861	$6K	$4.95	1.4× median	Above Median
18	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$6K	$2.85	0.8× median	Below Median
19	1508851288	$6K	$4.40	1.2× median	Above Median
20	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$6K	$1.64	0.5× median	Below Median

Showing top 20 of 92 providers billing this code

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