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Billing code 81208 · Lab & pathology

81208 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $186.52 for 81208 across 41 states, from $13.50 in Arizona to $257.54 in New Mexico.

Data as of Oct 5, 202641 statesEvery rate links to its official source

States publishing
41
National median
$186.52units vary by state
Lowest
$13.50Arizona
Highest
$257.54New Mexico
Answer

What does Medicaid pay for 81208?

41 state Medicaid programs publish a fee-for-service rate for 81208. The national median is $186.52 (units differ between states). New Mexico pays the most, $257.54, and Arizona the least, $13.50 per A, a 19.1x spread.

State ranking

81208 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2024-11-01$257.54——Plans must pay at least this—
2Texas Source · since 2019-07-04$231.78——Plans negotiate; applies out of network—
3Montana Source · since 2018-07-01$214.62——Not classified—
20Massachusetts Source · since 2024-09-01$189.27——Plans negotiate; applies out of network—
21Kansas Source · since 2014-04-01$186.52——Plans must pay at least this—
22Idaho Source · since 2025-09-01$185.43——Not classified—
40Georgia Source · since 2017-01-01$98.40——Plans negotiate; applies out of network—
41Arizona Source · since 2021-10-01$13.50A—Plans negotiate; applies out of network—
See all 41 states for 81208 — start free

33 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 81208 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 81208?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $186.52. New Mexico pays the most ($257.54) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81208?

New Mexico, at $257.54, effective 2024-11-01.

Do managed-care plans pay the same rate for 81208?

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.