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Billing code 81179 · Lab & pathology

81179 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $120.69 for 81179 across 36 states, from $73.98 in Florida to $147.96 in Texas.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$120.69units vary by state
Lowest
$73.98Florida
Highest
$147.96Texas
Answer

What does Medicaid pay for 81179?

36 state Medicaid programs publish a fee-for-service rate for 81179. The national median is $120.69 (units differ between states). Texas pays the most, $147.96, and Florida the least, $73.98, a 2.0x spread.

State ranking

81179 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$147.96——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$137.00——Plans negotiate; applies out of network—
3Indiana Source · since 2024-07-01$137.00unit—Plans must pay at least this—
18Massachusetts Source · since 2024-09-01$120.82——Plans negotiate; applies out of network—
19Virginia Source · since 2019-01-01$120.56——Plans negotiate; applies out of network—
20New Hampshire Source · since 2025-01-01$118.51——Plans negotiate; applies out of network—
35New York Source · since 2020-05-29$83.83——Plans negotiate; applies out of network—
36Florida Source · since 2026-01-01$73.98——Plans negotiate; applies out of network—
See all 36 states for 81179 — start free

28 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 81179 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 81179?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $120.69. Texas pays the most ($147.96) and Florida the least ($73.98).

Which state pays the highest Medicaid rate for 81179?

Texas, at $147.96, effective 2019-07-04.

Do managed-care plans pay the same rate for 81179?

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.