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Billing code 83864 · Lab & pathology

83864 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $24.59 for 83864 across 50 states, from $5.06 in Virginia to $34.20 in New Mexico.

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

States publishing
50
National median
$24.59units vary by state
Lowest
$5.06Virginia
Highest
$34.20New Mexico
Answer

What does Medicaid pay for 83864?

50 state Medicaid programs publish a fee-for-service rate for 83864. The national median is $24.59 (units differ between states). New Mexico pays the most, $34.20, and Virginia the least, $5.06, a 6.8x spread.

State ranking

83864 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
1New Mexico Source · since 2023-07-01$34.20——Plans must pay at least this—
2Texas Source · since 2019-07-04$30.78——Plans negotiate; applies out of network—
3Montana Source · since 2018-07-01$28.50——Not classified—
25Idaho Source · since 2025-09-01$24.62——Not classified—
26North Carolina Source · since 2025-10-01$24.56——Plans must pay at least this—
27Louisiana Source · since 2025-07-01$24.23——Plans must pay at least this—
49Georgia Source · since 2018-07-01$13.51——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$5.06——Plans negotiate; applies out of network—
See all 50 states for 83864 — 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 83864 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 83864?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $24.59. New Mexico pays the most ($34.20) and Virginia the least ($5.06).

Which state pays the highest Medicaid rate for 83864?

New Mexico, at $34.20, effective 2023-07-01.

Do managed-care plans pay the same rate for 83864?

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.