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Billing code 81374 · Lab & pathology

81374 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $70.44 for 81374 across 38 states, from $13.50 in Arizona to $98.40 in Georgia.

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

States publishing
38
National median
$70.44units vary by state
Lowest
$13.50Arizona
Highest
$98.40Georgia
Answer

What does Medicaid pay for 81374?

38 state Medicaid programs publish a fee-for-service rate for 81374. The national median is $70.44 (units differ between states). Georgia pays the most, $98.40, and Arizona the least, $13.50 per A, a 7.3x spread.

State ranking

81374 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
1Georgia Source · since 2017-01-01$98.40——Plans negotiate; applies out of network—
2New Mexico Source · since 2024-11-01$89.20——Plans must pay at least this—
3Kansas Source · since 2014-04-01$84.36——Plans must pay at least this—
19Maryland Source · since 2026-02-01$71.40——Not classified—
20Connecticut Source · since 2015-01-01$69.48——Not classified—
21Maine Source · since 2016-07-01$69.48——Not classified—
37Florida Source · since 2026-01-01$40.14——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 81374 — 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 81374 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 81374?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $70.44. Georgia pays the most ($98.40) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81374?

Georgia, at $98.40, effective 2017-01-01.

Do managed-care plans pay the same rate for 81374?

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.