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Billing code 81335 · Lab & pathology

81335 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $154.83 for 81335 across 30 states, from $94.40 in Florida to $174.81 in Montana.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$154.83units vary by state
Lowest
$94.40Florida
Highest
$174.81Montana
Answer

What does Medicaid pay for 81335?

30 state Medicaid programs publish a fee-for-service rate for 81335. The national median is $154.83 (units differ between states). Montana pays the most, $174.81, and Florida the least, $94.40, a 1.9x spread.

State ranking

81335 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2018-07-01$174.81——Not classified—
2Indiana Source · since 2018-01-01$174.81unit—Plans must pay at least this—
3Minnesota Source · since 2018-01-01$174.81——Plans negotiate; applies out of network—
15Oklahoma Source · since 2024-01-01$155.49——Plans must pay at least this—
16Massachusetts Source · since 2024-09-01$154.16——Plans negotiate; applies out of network—
17Kansas Source · since 2018-01-01$148.59——Plans must pay at least this—
29Illinois Source · since 2024-04-01$119.07——Plans negotiate; applies out of network—
30Florida Source · since 2026-01-01$94.40——Plans negotiate; applies out of network—
See all 30 states for 81335 — start free

22 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 81335 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 81335?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $154.83. Montana pays the most ($174.81) and Florida the least ($94.40).

Which state pays the highest Medicaid rate for 81335?

Montana, at $174.81, effective 2018-07-01.

Do managed-care plans pay the same rate for 81335?

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.