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Billing code 83631 · Lab & pathology

83631 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $18.75 for 83631 across 45 states, from $9.42 in Florida to $28.33 in Arkansas.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$18.75units vary by state
Lowest
$9.42Florida
Highest
$28.33Arkansas
Answer

What does Medicaid pay for 83631?

45 state Medicaid programs publish a fee-for-service rate for 83631. The national median is $18.75 (units differ between states). Arkansas pays the most, $28.33, and Florida the least, $9.42, a 3.0x spread.

State ranking

83631 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$28.33——Not classified—
2Iowa Source · since 2013-07-01$26.96——Plans must pay at least this—
3Georgia Source · since 2017-01-01$24.68——Plans negotiate; applies out of network—
22Vermont Source · since 2025-01-01$19.14——Not classified—
23Connecticut Source · since 2015-01-01$18.75——Not classified—
24Arizona Source · since 2026-10-01$17.67——Plans negotiate; applies out of network—
44New York Source · since 2020-05-29$11.39——Plans negotiate; applies out of network—
45Florida Source · since 2026-01-01$9.42——Plans negotiate; applies out of network—
See all 45 states for 83631 — start free

37 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 83631 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 83631?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $18.75. Arkansas pays the most ($28.33) and Florida the least ($9.42).

Which state pays the highest Medicaid rate for 83631?

Arkansas, at $28.33, effective 2025-03-26.

Do managed-care plans pay the same rate for 83631?

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.