Skip to content
Billing code 80438 · Lab & pathology

80438 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $49.48 for 80438 across 49 states, from $18.18 in New York to $71.95 in Arkansas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$49.48units vary by state
Lowest
$18.18New York
Highest
$71.95Arkansas
Answer

What does Medicaid pay for 80438?

49 state Medicaid programs publish a fee-for-service rate for 80438. The national median is $49.48 (units differ between states). Arkansas pays the most, $71.95, and New York the least, $18.18, a 4.0x spread.

State ranking

80438 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$71.95——Not classified—
2Iowa Source · since 2013-07-01$71.58——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-04$70.41——Plans negotiate; applies out of network—
24Virginia Source · since 2014-07-01$50.08——Plans negotiate; applies out of network—
25Maryland Source · since 2026-02-01$49.48——Not classified—
26Delaware Source · since 2024-01-01$49.40——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$30.43——Plans negotiate; applies out of network—
49New York Source · since 2020-05-29$18.18——Plans negotiate; applies out of network—
See all 49 states for 80438 — start free

41 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 80438 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 80438?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $49.48. Arkansas pays the most ($71.95) and New York the least ($18.18).

Which state pays the highest Medicaid rate for 80438?

Arkansas, at $71.95, effective 2025-03-26.

Do managed-care plans pay the same rate for 80438?

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.