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Billing code 81330 · Lab & pathology

81330 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $47.00 for 81330 across 33 states, from $13.50 in Arizona to $158.09 in Kansas.

Data as of Oct 5, 202633 statesEvery rate links to its official source

States publishing
33
National median
$47.00units vary by state
Lowest
$13.50Arizona
Highest
$158.09Kansas
Answer

What does Medicaid pay for 81330?

33 state Medicaid programs publish a fee-for-service rate for 81330. The national median is $47.00 (units differ between states). Kansas pays the most, $158.09, and Arizona the least, $13.50 per A, a 11.7x spread.

State ranking

81330 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Kansas Source · since 2013-01-01$158.09——Plans must pay at least this—
2Arkansas Source · since 2025-03-26$146.96——Not classified—
3Pennsylvania Source · since 2014-06-23$121.23——Plans negotiate; applies out of network—
16South Dakota Source · since 2019-12-01$47.00——Not classified—
17North Dakota Source · since 2025-01-01$47.00——Not classified—
18Montana Source · since 2018-07-01$46.99——Not classified—
32Florida Source · since 2026-01-01$25.38——Plans negotiate; applies out of network—
33Arizona Source · since 2021-10-01$13.50A—Plans negotiate; applies out of network—
See all 33 states for 81330 — start free

25 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 81330 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 81330?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $47.00. Kansas pays the most ($158.09) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81330?

Kansas, at $158.09, effective 2013-01-01.

Do managed-care plans pay the same rate for 81330?

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.