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Billing code 81307 · Lab & pathology

81307 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $579.77 for 81307 across 40 states, from $198.02 in Connecticut to $730.62 in Texas.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$579.77units vary by state
Lowest
$198.02Connecticut
Highest
$730.62Texas
Answer

What does Medicaid pay for 81307?

40 state Medicaid programs publish a fee-for-service rate for 81307. The national median is $579.77 (units differ between states). Texas pays the most, $730.62, and Connecticut the least, $198.02, a 3.7x spread.

State ranking

81307 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$730.62——Plans negotiate; applies out of network—
2Montana Source · since 2022-01-01$676.50——Not classified—
3Arizona Source · since 2026-10-01$676.50——Plans negotiate; applies out of network—
20Idaho Source · since 2025-09-01$584.50——Not classified—
21Louisiana Source · since 2025-07-01$575.03——Plans must pay at least this—
22Michigan Source · since 2023-01-01$560.14——Plans negotiate; applies out of network—
39Maryland Source · since 2026-02-01$224.88——Not classified—
40Connecticut Source · since 2020-01-01$198.02——Not classified—
See all 40 states for 81307 — start free

32 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 81307 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 81307?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $579.77. Texas pays the most ($730.62) and Connecticut the least ($198.02).

Which state pays the highest Medicaid rate for 81307?

Texas, at $730.62, effective 2019-07-04.

Do managed-care plans pay the same rate for 81307?

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.