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Billing code 81191 · Lab & pathology

81191 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $182.63 for 81191 across 38 states, from $111.95 in Florida to $207.31 in Montana.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$182.63units vary by state
Lowest
$111.95Florida
Highest
$207.31Montana
Answer

What does Medicaid pay for 81191?

38 state Medicaid programs publish a fee-for-service rate for 81191. The national median is $182.63 (units differ between states). Montana pays the most, $207.31, and Florida the least, $111.95, a 1.9x spread.

State ranking

81191 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-01-01$207.31——Not classified—
2Arizona Source · since 2026-10-01$207.31——Plans negotiate; applies out of network—
3Indiana Source · since 2024-07-01$207.31unit—Plans must pay at least this—
19Massachusetts Source · since 2024-09-01$182.82——Plans negotiate; applies out of network—
20Virginia Source · since 2021-01-01$182.43——Plans negotiate; applies out of network—
21New Hampshire Source · since 2025-01-01$179.32——Plans negotiate; applies out of network—
37New York Source · since 2020-05-29$125.63——Plans negotiate; applies out of network—
38Florida Source · since 2026-01-01$111.95——Plans negotiate; applies out of network—
See all 38 states for 81191 — start free

30 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 81191 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 81191?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $182.63. Montana pays the most ($207.31) and Florida the least ($111.95).

Which state pays the highest Medicaid rate for 81191?

Montana, at $207.31, effective 2021-01-01.

Do managed-care plans pay the same rate for 81191?

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.