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Billing code 83516 · Lab & pathology

83516 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $10.38 for 83516 across 48 states, from $5.76 in Florida to $16.48 in Arkansas.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$10.38units vary by state
Lowest
$5.76Florida
Highest
$16.48Arkansas
Answer

What does Medicaid pay for 83516?

48 state Medicaid programs publish a fee-for-service rate for 83516. The national median is $10.38 (units differ between states). Arkansas pays the most, $16.48, and Florida the least, $5.76, a 2.9x spread.

State ranking

83516 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$16.48——Not classified—
2Iowa Source · since 2024-01-01$16.40——Plans must pay at least this—
3North Carolina Source · since 2025-10-01$14.13——Plans must pay at least this—
24Arizona Source · since 2026-10-01$10.38——Plans negotiate; applies out of network—
25Missouri Source · since 2026-07-01$10.38——Plans negotiate; applies out of network—
26Mississippi Source · since 2022-07-01$10.38——Plans must pay at least this—
47Virginia Source · since 2016-01-01$6.54——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$5.76——Plans negotiate; applies out of network—
See all 48 states for 83516 — start free

40 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 83516 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 83516?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $10.38. Arkansas pays the most ($16.48) and Florida the least ($5.76).

Which state pays the highest Medicaid rate for 83516?

Arkansas, at $16.48, effective 2025-03-26.

Do managed-care plans pay the same rate for 83516?

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.