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Billing code 80434 · Lab & pathology

80434 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $232.73 for 80434 across 48 states, from $69.02 in Nevada to $307.83 in Texas.

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

States publishing
48
National median
$232.73units vary by state
Lowest
$69.02Nevada
Highest
$307.83Texas
Answer

What does Medicaid pay for 80434?

48 state Medicaid programs publish a fee-for-service rate for 80434. The national median is $232.73 (units differ between states). Texas pays the most, $307.83, and Nevada the least, $69.02, a 4.5x spread.

State ranking

80434 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
1Texas Source · since 2019-07-04$307.83——Plans negotiate; applies out of network—
2Montana Source · since 2018-07-01$285.03——Not classified—
3Nebraska Source · since 2026-07-01$285.03——Plans negotiate; applies out of network—
24Colorado Source · since 2026-07-01$237.43——Not classified—
25New Jersey Source · since 2025-01-01$228.02——Not classified—
26Washington Source · since 2026-01-01$228.02——Plans may pay no more—
47Rhode Island Source · since 2005-01-01$84.78——Plans negotiate; applies out of network—
48Nevada Source · since 2017-01-01$69.02——Plans negotiate; applies out of network—
See all 48 states for 80434 — 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 80434 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 80434?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $232.73. Texas pays the most ($307.83) and Nevada the least ($69.02).

Which state pays the highest Medicaid rate for 80434?

Texas, at $307.83, effective 2019-07-04.

Do managed-care plans pay the same rate for 80434?

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.