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Billing code 81353 · Lab & pathology

81353 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $271.62 for 81353 across 39 states, from $112.87 in Connecticut to $332.64 in Texas.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$271.62units vary by state
Lowest
$112.87Connecticut
Highest
$332.64Texas
Answer

What does Medicaid pay for 81353?

39 state Medicaid programs publish a fee-for-service rate for 81353. The national median is $271.62 (units differ between states). Texas pays the most, $332.64, and Connecticut the least, $112.87, a 2.9x spread.

State ranking

81353 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$332.64——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$308.00——Plans negotiate; applies out of network—
3Indiana Source · since 2024-07-01$308.00unit—Plans must pay at least this—
19Oklahoma Source · since 2024-01-01$273.96——Plans must pay at least this—
20Massachusetts Source · since 2024-09-01$271.62——Plans negotiate; applies out of network—
21Virginia Source · since 2021-01-01$271.04——Plans negotiate; applies out of network—
38Florida Source · since 2026-01-01$166.32——Plans negotiate; applies out of network—
39Connecticut Source · since 2021-01-01$112.87——Not classified—
See all 39 states for 81353 — start free

31 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 81353 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 81353?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $271.62. Texas pays the most ($332.64) and Connecticut the least ($112.87).

Which state pays the highest Medicaid rate for 81353?

Texas, at $332.64, effective 2019-07-04.

Do managed-care plans pay the same rate for 81353?

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.