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Billing code 81000 · Lab & pathology

81000 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $3.62 for 81000 across 50 states, from $1.93 in Florida to $7.24 in New Jersey.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$3.62units vary by state
Lowest
$1.93Florida
Highest
$7.24New Jersey
Answer

What does Medicaid pay for 81000?

50 state Medicaid programs publish a fee-for-service rate for 81000. The national median is $3.62 (units differ between states). New Jersey pays the most, $7.24, and Florida the least, $1.93, a 3.8x spread.

State ranking

81000 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Jersey Source · since 2025-01-01$7.24——Not classified—
2New Mexico Source · since 2023-07-01$4.82——Plans must pay at least this—
3Arkansas Source · since 2025-06-04$4.52——Not classified—
25Missouri Source · since 2026-07-01$3.62——Plans negotiate; applies out of network—
26Mississippi Source · since 2022-07-01$3.62——Plans must pay at least this—
27West Virginia Source · since 2023-04-01$3.62——Plans negotiate; applies out of network—
49District of Columbia Source · since 2018-04-01$2.15——Not classified—
50Florida Source · since 2026-01-01$1.93——Plans negotiate; applies out of network—
See all 50 states for 81000 — start free

42 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 81000 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 81000?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $3.62. New Jersey pays the most ($7.24) and Florida the least ($1.93).

Which state pays the highest Medicaid rate for 81000?

New Jersey, at $7.24, effective 2025-01-01.

Do managed-care plans pay the same rate for 81000?

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.