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Billing code 82955 · Lab & pathology

82955 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $9.19 for 82955 across 50 states, from $4.66 in Florida to $13.85 in Arkansas.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$9.19units vary by state
Lowest
$4.66Florida
Highest
$13.85Arkansas
Answer

What does Medicaid pay for 82955?

50 state Medicaid programs publish a fee-for-service rate for 82955. The national median is $9.19 (units differ between states). Arkansas pays the most, $13.85, and Florida the least, $4.66, a 3.0x spread.

State ranking

82955 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$13.85——Not classified—
2Wyoming Source · since 2021-01-01$11.90——Not classified—
3New Mexico Source · since 2023-07-01$11.64——Plans must pay at least this—
25Connecticut Source · since 2015-01-01$9.25——Not classified—
26Maine Source · since 2016-01-02$9.12——Not classified—
27Arizona Source · since 2026-10-01$8.73——Plans negotiate; applies out of network—
49Rhode Island Source · since 2005-01-01$5.38——Plans negotiate; applies out of network—
50Florida Source · since 2026-01-01$4.66——Plans negotiate; applies out of network—
See all 50 states for 82955 — start free

42 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 82955 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 82955?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $9.19. Arkansas pays the most ($13.85) and Florida the least ($4.66).

Which state pays the highest Medicaid rate for 82955?

Arkansas, at $13.85, effective 2025-03-26.

Do managed-care plans pay the same rate for 82955?

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.