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Billing code 84203 · Lab & pathology

84203 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $8.77 for 84203 across 48 states, from $3.51 in Virginia to $12.23 in Iowa.

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

States publishing
48
National median
$8.77units vary by state
Lowest
$3.51Virginia
Highest
$12.23Iowa
Answer

What does Medicaid pay for 84203?

48 state Medicaid programs publish a fee-for-service rate for 84203. The national median is $8.77 (units differ between states). Iowa pays the most, $12.23, and Virginia the least, $3.51, a 3.5x spread.

State ranking

84203 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
1Iowa Source · since 2013-07-01$12.23——Plans must pay at least this—
2Pennsylvania Source · since 2009-04-04$11.89——Plans negotiate; applies out of network—
3Georgia Source · since 2017-01-01$10.83——Plans negotiate; applies out of network—
24Arizona Source · since 2026-10-01$8.77——Plans negotiate; applies out of network—
25Missouri Source · since 2026-07-01$8.77——Plans negotiate; applies out of network—
26Mississippi Source · since 2022-07-01$8.77——Plans must pay at least this—
47Florida Source · since 2026-01-01$4.67——Plans negotiate; applies out of network—
48Virginia Source · since 2014-07-01$3.51——Plans negotiate; applies out of network—
See all 48 states for 84203 — 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 84203 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 84203?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $8.77. Iowa pays the most ($12.23) and Virginia the least ($3.51).

Which state pays the highest Medicaid rate for 84203?

Iowa, at $12.23, effective 2013-07-01.

Do managed-care plans pay the same rate for 84203?

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.