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Billing code 81250 · Lab & pathology

81250 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $52.64 for 81250 across 31 states, from $13.50 in Arizona to $123.61 in Kansas.

Data as of Oct 5, 202631 statesEvery rate links to its official source

States publishing
31
National median
$52.64units vary by state
Lowest
$13.50Arizona
Highest
$123.61Kansas
Answer

What does Medicaid pay for 81250?

31 state Medicaid programs publish a fee-for-service rate for 81250. The national median is $52.64 (units differ between states). Kansas pays the most, $123.61, and Arizona the least, $13.50 per A, a 9.2x spread.

State ranking

81250 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Kansas Source · since 2013-01-01$123.61——Plans must pay at least this—
2Arkansas Source · since 2025-03-26$118.37——Not classified—
3Georgia Source · since 2017-01-01$98.40——Plans negotiate; applies out of network—
15Montana Source · since 2018-07-01$58.48——Not classified—
16Missouri Source · since 2026-07-01$52.64——Plans negotiate; applies out of network—
17Mississippi Source · since 2022-07-01$52.64——Plans must pay at least this—
30Florida Source · since 2026-01-01$31.58——Plans negotiate; applies out of network—
31Arizona Source · since 2021-10-01$13.50A—Plans negotiate; applies out of network—
See all 31 states for 81250 — start free

23 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 81250 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 81250?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $52.64. Kansas pays the most ($123.61) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81250?

Kansas, at $123.61, effective 2013-01-01.

Do managed-care plans pay the same rate for 81250?

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.