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Billing code 83916 · Lab & pathology

83916 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $24.36 for 83916 across 49 states, from $13.14 in Florida to $32.87 in New Mexico.

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

States publishing
49
National median
$24.36units vary by state
Lowest
$13.14Florida
Highest
$32.87New Mexico
Answer

What does Medicaid pay for 83916?

49 state Medicaid programs publish a fee-for-service rate for 83916. The national median is $24.36 (units differ between states). New Mexico pays the most, $32.87, and Florida the least, $13.14, a 2.5x spread.

State ranking

83916 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
1New Mexico Source · since 2023-07-01$32.87——Plans must pay at least this—
2Texas Source · since 2019-07-04$29.58——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$28.72——Not classified—
24Wyoming Source · since 2021-01-01$24.65——Not classified—
25Oklahoma Source · since 2024-01-01$24.36——Plans must pay at least this—
26Massachusetts Source · since 2024-09-01$24.15——Plans negotiate; applies out of network—
48Nevada Source · since 2017-01-01$13.72——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$13.14——Plans negotiate; applies out of network—
See all 49 states for 83916 — 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 83916 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 83916?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $24.36. New Mexico pays the most ($32.87) and Florida the least ($13.14).

Which state pays the highest Medicaid rate for 83916?

New Mexico, at $32.87, effective 2023-07-01.

Do managed-care plans pay the same rate for 83916?

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.