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Billing code 81371 · Lab & pathology

81371 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $335.96 for 81371 across 38 states, from $13.50 in Arizona to $436.88 in Texas.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$335.96units vary by state
Lowest
$13.50Arizona
Highest
$436.88Texas
Answer

What does Medicaid pay for 81371?

38 state Medicaid programs publish a fee-for-service rate for 81371. The national median is $335.96 (units differ between states). Texas pays the most, $436.88, and Arizona the least, $13.50 per A, a 32.4x spread.

State ranking

81371 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$436.88——Plans negotiate; applies out of network—
2Montana Source · since 2018-07-01$404.52——Not classified—
3Nebraska Source · since 2026-07-01$404.52——Plans negotiate; applies out of network—
19Colorado Source · since 2026-07-01$336.97——Not classified—
20Michigan Source · since 2023-01-01$334.94——Plans negotiate; applies out of network—
21New Jersey Source · since 2025-01-01$323.62——Not classified—
37Georgia Source · since 2017-01-01$72.00——Plans negotiate; applies out of network—
38Arizona Source · since 2021-10-01$13.50A—Plans negotiate; applies out of network—
See all 38 states for 81371 — start free

30 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 81371 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 81371?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $335.96. Texas pays the most ($436.88) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81371?

Texas, at $436.88, effective 2019-07-04.

Do managed-care plans pay the same rate for 81371?

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.