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Billing code 81433 · Lab & pathology

81433 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $438.74 for 81433 across 6 states, from $237.02 in Florida to $438.93 in Colorado.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$438.74units vary by state
Lowest
$237.02Florida
Highest
$438.93Colorado
Answer

What does Medicaid pay for 81433?

6 state Medicaid programs publish a fee-for-service rate for 81433. The national median is $438.74 (units differ between states). Colorado pays the most, $438.93, and Florida the least, $237.02, a 1.9x spread.

State ranking

81433 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2021-07-01$438.93——Not classified—
2Kentucky Source · since 2020-01-01$438.93——Plans negotiate; applies out of network—
3New Mexico Source · since 2024-11-01$438.93——Plans must pay at least this—
6Florida Source · since 2026-01-01$237.02——Plans negotiate; applies out of network—
See all 6 states for 81433 — start free

2 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 81433 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 81433?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $438.74. Colorado pays the most ($438.93) and Florida the least ($237.02).

Which state pays the highest Medicaid rate for 81433?

Colorado, at $438.93, effective 2021-07-01.

Do managed-care plans pay the same rate for 81433?

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.