Skip to content
Billing code 81500 · Lab & pathology

81500 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $234.45 for 81500 across 20 states, from $14.20 in Kansas to $260.50 in Montana.

Data as of Oct 5, 202620 statesEvery rate links to its official source

States publishing
20
National median
$234.45units vary by state
Lowest
$14.20Kansas
Highest
$260.50Montana
Answer

What does Medicaid pay for 81500?

20 state Medicaid programs publish a fee-for-service rate for 81500. The national median is $234.45 (units differ between states). Montana pays the most, $260.50, and Kansas the least, $14.20, a 18.3x spread.

State ranking

81500 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 20 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2022-01-01$260.50——Not classified—
2California Source · since 2026-10-01$260.50——Plans negotiate; applies out of network—
3Minnesota Source · since 2018-01-01$260.50——Plans negotiate; applies out of network—
10Missouri Source · since 2026-07-01$234.45——Plans negotiate; applies out of network—
11Mississippi Source · since 2026-07-01$234.45——Plans must pay at least this—
12Massachusetts Source · since 2024-09-01$229.73——Plans negotiate; applies out of network—
19Florida Source · since 2026-01-01$140.67——Plans negotiate; applies out of network—
20Kansas Source · since 2016-01-01$14.20——Not classified—
See all 20 states for 81500 — start free

12 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 81500 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 81500?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $234.45. Montana pays the most ($260.50) and Kansas the least ($14.20).

Which state pays the highest Medicaid rate for 81500?

Montana, at $260.50, effective 2022-01-01.

Do managed-care plans pay the same rate for 81500?

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.