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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $10.4M |
| 2 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $8.4M |
| 3 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $7.0M |
| 4 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $5.7M |
| 5 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $4.5M |
| 6 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $4.2M |
| 7 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $3.9M |
| 8 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $3.8M |
| 9 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $3.8M |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3.7M |
| 11 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $2.7M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $2.7M |
| 13 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $2.6M |
| 14 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $2.5M |
| 15 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $2.2M |
| 16 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $2.1M |
| 17 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $2.1M |
| 18 | Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist | $2.0M |
| 19 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $1.9M |
| 20 | 1598747651 | $1.9M |
Showing top 20 of 6K providers billing this code