80055 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $41.36 for 80055 across 49 states, from $12.00 in Pennsylvania to $57.37 in New Mexico.
- States publishing
- 49
- National median
- $41.36units vary by state
- Lowest
- $12.00Pennsylvania
- Highest
- $57.37New Mexico
What does Medicaid pay for 80055?
49 state Medicaid programs publish a fee-for-service rate for 80055. The national median is $41.36 (units differ between states). New Mexico pays the most, $57.37, and Pennsylvania the least, $12.00, a 4.8x spread.
80055 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 80055?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $41.36. New Mexico pays the most ($57.37) and Pennsylvania the least ($12.00).
Which state pays the highest Medicaid rate for 80055?
New Mexico, at $57.37, effective 2023-07-01.
Do managed-care plans pay the same rate for 80055?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.