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Billing code 80406 · Lab & pathology

80406 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $76.75 for 80406 across 48 states, from $37.57 in Florida to $111.74 in Arkansas.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$76.75units vary by state
Lowest
$37.57Florida
Highest
$111.74Arkansas
Answer

What does Medicaid pay for 80406?

48 state Medicaid programs publish a fee-for-service rate for 80406. The national median is $76.75 (units differ between states). Arkansas pays the most, $111.74, and Florida the least, $37.57, a 3.0x spread.

State ranking

80406 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$111.74——Not classified—
2Pennsylvania Source · since 2009-04-04$108.14——Plans negotiate; applies out of network—
3Georgia Source · since 2017-01-01$98.41——Plans negotiate; applies out of network—
24Maryland Source · since 2026-02-01$76.81——Not classified—
25Delaware Source · since 2024-01-01$76.69——Plans negotiate; applies out of network—
26Vermont Source · since 2025-01-01$76.30——Not classified—
47Kansas Source · since 1994-01-01$48.22——Plans must pay at least this—
48Florida Source · since 2026-01-01$37.57——Plans negotiate; applies out of network—
See all 48 states for 80406 — start free

40 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 80406 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 80406?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $76.75. Arkansas pays the most ($111.74) and Florida the least ($37.57).

Which state pays the highest Medicaid rate for 80406?

Arkansas, at $111.74, effective 2025-03-26.

Do managed-care plans pay the same rate for 80406?

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.