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Billing code 80143 · Lab & pathology

80143 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.36 for 80143 across 44 states, from $9.32 in Nevada to $20.13 in Texas.

Data as of Oct 5, 202644 statesEvery rate links to its official source

Compare 80143 in all 44 statesAll billing codes
States publishing
44
National median
$16.36units vary by state
Lowest
$9.32Nevada
Highest
$20.13Texas
Answer

What does Medicaid pay for 80143?

44 state Medicaid programs publish a fee-for-service rate for 80143. The national median is $16.36 (units differ between states). Texas pays the most, $20.13, and Nevada the least, $9.32, a 2.2x spread.

State ranking

80143 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$20.13——Plans negotiate; applies out of network—
2Montana Source · since 2021-01-01$18.64——Not classified—
3Arizona Source · since 2026-10-01$18.64——Plans negotiate; applies out of network—
22Virginia Source · since 2021-01-01$16.40——Plans negotiate; applies out of network—
23Wyoming Source · since 2021-01-01$16.31——Not classified—
24New Hampshire Source · since 2025-01-01$16.12——Plans negotiate; applies out of network—
43Florida Source · since 2026-01-01$10.06——Plans negotiate; applies out of network—
44Nevada Source · since 2021-01-01$9.32——Plans negotiate; applies out of network—
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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

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FAQ

Frequently asked questions

What does Medicaid pay for 80143?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $16.36. Texas pays the most ($20.13) and Nevada the least ($9.32).

Which state pays the highest Medicaid rate for 80143?

Texas, at $20.13, effective 2019-07-04.

Do managed-care plans pay the same rate for 80143?

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.

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