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Billing code 81269 · Lab & pathology

81269 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $181.10 for 81269 across 36 states, from $109.30 in Florida to $218.59 in Texas.

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

States publishing
36
National median
$181.10units vary by state
Lowest
$109.30Florida
Highest
$218.59Texas
Answer

What does Medicaid pay for 81269?

36 state Medicaid programs publish a fee-for-service rate for 81269. The national median is $181.10 (units differ between states). Texas pays the most, $218.59, and Florida the least, $109.30, a 2.0x spread.

State ranking

81269 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$218.59——Plans negotiate; applies out of network—
2Indiana Source · since 2018-01-01$202.40unit—Plans must pay at least this—
3Minnesota Source · since 2018-01-01$202.40——Plans negotiate; applies out of network—
18West Virginia Source · since 2023-04-01$182.16——Plans negotiate; applies out of network—
19Oklahoma Source · since 2024-01-01$180.03——Plans must pay at least this—
20Massachusetts Source · since 2024-09-01$178.49——Plans negotiate; applies out of network—
35Connecticut Source · since 2018-01-01$133.48——Not classified—
36Florida Source · since 2026-01-01$109.30——Plans negotiate; applies out of network—
See all 36 states for 81269 — 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 81269 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 81269?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $181.10. Texas pays the most ($218.59) and Florida the least ($109.30).

Which state pays the highest Medicaid rate for 81269?

Texas, at $218.59, effective 2019-07-04.

Do managed-care plans pay the same rate for 81269?

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.