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Billing code 80351 · Lab & pathology

80351 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.22 for 80351 across 8 states, from $1.54 in Arizona to $22.05 in New Jersey.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$16.22units vary by state
Lowest
$1.54Arizona
Highest
$22.05New Jersey
Answer

What does Medicaid pay for 80351?

8 state Medicaid programs publish a fee-for-service rate for 80351. The national median is $16.22 (units differ between states). New Jersey pays the most, $22.05, and Arizona the least, $1.54, a 14.3x spread.

State ranking

80351 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Jersey Source · since 2023-12-01$22.05——Not classified—
2Arkansas Source · since 2025-03-26$21.35——Not classified—
3Kansas Source · since 2015-01-01$17.19——Plans must pay at least this—
7New York Source · since 2020-05-29$5.05——Plans negotiate; applies out of network—
8Arizona Source · since 2026-10-01$1.54——Plans negotiate; applies out of network—
See all 8 states for 80351 — start free

3 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 80351 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 80351?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $16.22. New Jersey pays the most ($22.05) and Arizona the least ($1.54).

Which state pays the highest Medicaid rate for 80351?

New Jersey, at $22.05, effective 2023-12-01.

Do managed-care plans pay the same rate for 80351?

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.