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Billing code 81560 · Lab & pathology

81560 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $576.66 for 81560 across 18 states, from $12.05 in Wisconsin to $2,106.00 in Kansas.

Data as of Oct 5, 202618 statesEvery rate links to its official source

States publishing
18
National median
$576.66units vary by state
Lowest
$12.05Wisconsin
Highest
$2,106.00Kansas
Answer

What does Medicaid pay for 81560?

18 state Medicaid programs publish a fee-for-service rate for 81560. The national median is $576.66 (units differ between states). Kansas pays the most, $2,106.00, and Wisconsin the least, $12.05, a 174.8x spread.

State ranking

81560 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Kansas Source · since 2022-01-01$2,106.00——Plans must pay at least this—
2Arizona Source · since 2024-01-01$640.73——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$640.73——Plans negotiate; applies out of network—
9Missouri Source · since 2026-07-01$576.66——Plans negotiate; applies out of network—
10Mississippi Source · since 2026-07-01$576.66——Plans must pay at least this—
11Massachusetts Source · since 2024-09-01$565.04——Plans negotiate; applies out of network—
17Florida Source · since 2026-01-01$346.00——Plans negotiate; applies out of network—
18Wisconsin Source · since 2022-01-01$12.05——Plans negotiate; applies out of network—
See all 18 states for 81560 — start free

10 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 81560 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 81560?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $576.66. Kansas pays the most ($2,106.00) and Wisconsin the least ($12.05).

Which state pays the highest Medicaid rate for 81560?

Kansas, at $2,106.00, effective 2022-01-01.

Do managed-care plans pay the same rate for 81560?

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.