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Billing code 82164 · Lab & pathology

82164 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $13.94 for 82164 across 49 states, from $7.01 in Florida to $20.84 in Arkansas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$13.94units vary by state
Lowest
$7.01Florida
Highest
$20.84Arkansas
Answer

What does Medicaid pay for 82164?

49 state Medicaid programs publish a fee-for-service rate for 82164. The national median is $13.94 (units differ between states). Arkansas pays the most, $20.84, and Florida the least, $7.01, a 3.0x spread.

State ranking

82164 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$20.84——Not classified—
2Iowa Source · since 2013-07-01$20.73——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-01$20.17——Plans negotiate; applies out of network—
24Vermont Source · since 2025-01-01$14.24——Not classified—
25Connecticut Source · since 2015-01-01$13.94——Not classified—
26Arizona Source · since 2026-10-01$13.14——Plans negotiate; applies out of network—
48Illinois Source · since 2024-04-01$9.94——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$7.01——Plans negotiate; applies out of network—
See all 49 states for 82164 — start free

41 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 82164 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 82164?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $13.94. Arkansas pays the most ($20.84) and Florida the least ($7.01).

Which state pays the highest Medicaid rate for 82164?

Arkansas, at $20.84, effective 2025-03-26.

Do managed-care plans pay the same rate for 82164?

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.