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Billing code 80367 · Lab & pathology

80367 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $12.51 for 80367 across 9 states, from $4.19 in Arizona to $21.35 in Arkansas.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$12.51units vary by state
Lowest
$4.19Arizona
Highest
$21.35Arkansas
Answer

What does Medicaid pay for 80367?

9 state Medicaid programs publish a fee-for-service rate for 80367. The national median is $12.51 (units differ between states). Arkansas pays the most, $21.35, and Arizona the least, $4.19, a 5.1x spread.

State ranking

80367 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$21.35——Not classified—
2New Jersey Source · since 2023-12-01$20.46——Not classified—
3Iowa Source · since 2016-01-01$16.17——Plans must pay at least this—
5Texas Source · since 2019-07-17$12.51——Plans negotiate; applies out of network—
8New York Source · since 2020-05-29$5.05——Plans negotiate; applies out of network—
9Arizona Source · since 2026-10-01$4.19——Plans negotiate; applies out of network—
See all 9 states for 80367 — 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 80367 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 80367?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $12.51. Arkansas pays the most ($21.35) and Arizona the least ($4.19).

Which state pays the highest Medicaid rate for 80367?

Arkansas, at $21.35, effective 2025-03-26.

Do managed-care plans pay the same rate for 80367?

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.