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#384 of 11K

87086

Urine culture, colony count, with identification

Urine culture, colony count, with identification is the #384 most-billed Medicaid procedure code, with $287.7M in payments across 53.3M claims from 2018–2024. The national median cost per claim is $5.31. Costs vary widely — the 90th percentile is $12.20 per claim, 2.3× the median.

Total Paid

$287.7M

0.03% of all spending

Total Claims

53.3M

Providers

6K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 87086? Based on 6K providers billing this code nationally.

Median

$5.31

Average

$7.68

Std Dev

$17.23

Max

$505.48

Percentile Distribution (Cost per Claim)

p10
$0.60
p25
$2.30
Median
$5.31
p75
$7.78
p90
$12.20
p95
$22.14
p99
$56.05

50% of providers bill between $2.30 and $7.78 per claim for this code.

90% bill between $0.60 and $12.20.

Top 1% bill above $56.05.

About This Procedure

HCPCS code 87086 (Urine culture, colony count, with identification) was billed by 6K providers across 53.3M claims, totaling $287.7M in Medicaid payments from 2018–2024. This code was used for 48.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.31

Providers Billing

6K

National Spending

$287.7M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87086

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$10.4M
2Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$8.4M
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$7.0M
4Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$5.7M
5Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$4.5M
6Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$4.2M
7Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$3.9M
8Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$3.8M
9Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$3.8M
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$3.7M
11Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$2.7M
12Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$2.7M
13Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2.6M
14Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$2.5M
15Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$2.2M
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$2.1M
17Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$2.1M
18Southeast Alaska Regional Health Consortium

Sitka, AK · Podiatrist

$2.0M
19Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$1.9M
201598747651$1.9M

Showing top 20 of 6K providers billing this code