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Billing code 80230 · Lab & pathology

80230 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $33.94 for 80230 across 43 states, from $10.61 in New York to $41.65 in Texas.

Data as of Oct 5, 202643 statesEvery rate links to its official source

States publishing
43
National median
$33.94units vary by state
Lowest
$10.61New York
Highest
$41.65Texas
Answer

What does Medicaid pay for 80230?

43 state Medicaid programs publish a fee-for-service rate for 80230. The national median is $33.94 (units differ between states). Texas pays the most, $41.65, and New York the least, $10.61, a 3.9x spread.

State ranking

80230 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2021-11-17$41.65——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$38.57——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$38.57——Plans negotiate; applies out of network—
21Massachusetts Source · since 2024-09-01$34.01——Plans negotiate; applies out of network—
22Virginia Source · since 2020-01-01$33.94——Plans negotiate; applies out of network—
23New Hampshire Source · since 2025-01-01$33.36——Plans negotiate; applies out of network—
42Connecticut Source · since 2020-01-01$13.51——Not classified—
43New York Source · since 2020-05-29$10.61——Plans negotiate; applies out of network—
See all 43 states for 80230 — start free

35 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 80230 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 80230?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $33.94. Texas pays the most ($41.65) and New York the least ($10.61).

Which state pays the highest Medicaid rate for 80230?

Texas, at $41.65, effective 2021-11-17.

Do managed-care plans pay the same rate for 80230?

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.