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Billing code 80369 · Lab & pathology

80369 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.43 for 80369 across 11 states, from $3.66 in Arizona to $26.76 in Arkansas.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$16.43units vary by state
Lowest
$3.66Arizona
Highest
$26.76Arkansas
Answer

What does Medicaid pay for 80369?

11 state Medicaid programs publish a fee-for-service rate for 80369. The national median is $16.43 (units differ between states). Arkansas pays the most, $26.76, and Arizona the least, $3.66, a 7.3x spread.

State ranking

80369 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$26.76——Not classified—
2Georgia Source · since 2017-01-01$22.17——Plans negotiate; applies out of network—
3Wyoming Source · since 2021-01-01$21.62——Not classified—
5Pennsylvania Source · since 2015-09-01$19.18——Plans negotiate; applies out of network—
6Iowa Source · since 2016-01-01$16.43——Plans must pay at least this—
10Virginia Source · since 2015-01-01$8.33——Plans negotiate; applies out of network—
11Arizona Source · since 2026-10-01$3.66——Plans negotiate; applies out of network—
See all 11 states for 80369 — start free

4 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 80369 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 80369?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $16.43. Arkansas pays the most ($26.76) and Arizona the least ($3.66).

Which state pays the highest Medicaid rate for 80369?

Arkansas, at $26.76, effective 2025-03-26.

Do managed-care plans pay the same rate for 80369?

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.