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Billing code 84206 · Lab & pathology

84206 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $23.08 for 84206 across 48 states, from $8.00 in Pennsylvania to $32.03 in New Mexico.

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

States publishing
48
National median
$23.08units vary by state
Lowest
$8.00Pennsylvania
Highest
$32.03New Mexico
Answer

What does Medicaid pay for 84206?

48 state Medicaid programs publish a fee-for-service rate for 84206. The national median is $23.08 (units differ between states). New Mexico pays the most, $32.03, and Pennsylvania the least, $8.00, a 4.0x spread.

State ranking

84206 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
1New Mexico Source · since 2023-07-01$32.03——Plans must pay at least this—
2Texas Source · since 2019-07-04$28.82——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$26.69——Plans negotiate; applies out of network—
24New Hampshire Source · since 2025-01-01$23.09——Plans negotiate; applies out of network—
25Idaho Source · since 2025-09-01$23.06——Not classified—
26Louisiana Source · since 2025-07-01$22.69——Plans must pay at least this—
47Nevada Source · since 2017-01-01$12.15——Plans negotiate; applies out of network—
48Pennsylvania Source · since 2009-04-04$8.00——Plans negotiate; applies out of network—
See all 48 states for 84206 — 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 84206 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 84206?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $23.08. New Mexico pays the most ($32.03) and Pennsylvania the least ($8.00).

Which state pays the highest Medicaid rate for 84206?

New Mexico, at $32.03, effective 2023-07-01.

Do managed-care plans pay the same rate for 84206?

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.