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Billing code 80190 · Lab & pathology

80190 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $49.68 for 80190 across 49 states, from $11.43 in Nevada to $64.80 in Texas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$49.68units vary by state
Lowest
$11.43Nevada
Highest
$64.80Texas
Answer

What does Medicaid pay for 80190?

49 state Medicaid programs publish a fee-for-service rate for 80190. The national median is $49.68 (units differ between states). Texas pays the most, $64.80, and Nevada the least, $11.43, a 5.7x spread.

State ranking

80190 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$64.80——Plans negotiate; applies out of network—
2Montana Source · since 2018-07-01$60.00——Not classified—
3Nebraska Source · since 2026-07-01$60.00——Plans negotiate; applies out of network—
24Colorado Source · since 2026-07-01$49.98——Not classified—
25Michigan Source · since 2023-01-01$49.68——Plans negotiate; applies out of network—
26New Jersey Source · since 2025-01-01$48.00——Not classified—
48Virginia Source · since 2014-07-01$12.54——Plans negotiate; applies out of network—
49Nevada Source · since 2017-01-01$11.43——Plans negotiate; applies out of network—
See all 49 states for 80190 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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.

Track 80190 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 80190?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $49.68. Texas pays the most ($64.80) and Nevada the least ($11.43).

Which state pays the highest Medicaid rate for 80190?

Texas, at $64.80, effective 2019-07-04.

Do managed-care plans pay the same rate for 80190?

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.