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Billing code 84081 · Lab & pathology

84081 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $15.33 for 84081 across 50 states, from $7.13 in Virginia to $23.60 in Arkansas.

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

States publishing
50
National median
$15.33units vary by state
Lowest
$7.13Virginia
Highest
$23.60Arkansas
Answer

What does Medicaid pay for 84081?

50 state Medicaid programs publish a fee-for-service rate for 84081. The national median is $15.33 (units differ between states). Arkansas pays the most, $23.60, and Virginia the least, $7.13, a 3.3x spread.

State ranking

84081 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$23.60——Not classified—
2Iowa Source · since 2013-07-01$23.49——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-01$22.00——Plans negotiate; applies out of network—
25Connecticut Source · since 2015-01-01$15.78——Not classified—
26Arizona Source · since 2026-10-01$14.87——Plans negotiate; applies out of network—
27Missouri Source · since 2026-07-01$14.87——Plans negotiate; applies out of network—
49New York Source · since 2020-05-29$8.05——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$7.13——Plans negotiate; applies out of network—
See all 50 states for 84081 — 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 84081 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 84081?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $15.33. Arkansas pays the most ($23.60) and Virginia the least ($7.13).

Which state pays the highest Medicaid rate for 84081?

Arkansas, at $23.60, effective 2025-03-26.

Do managed-care plans pay the same rate for 84081?

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.