Skip to content
Billing code 85335 · Lab & pathology

85335 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $11.58 for 85335 across 50 states, from $2.93 in Virginia to $18.39 in Arkansas.

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

States publishing
50
National median
$11.58units vary by state
Lowest
$2.93Virginia
Highest
$18.39Arkansas
Answer

What does Medicaid pay for 85335?

50 state Medicaid programs publish a fee-for-service rate for 85335. The national median is $11.58 (units differ between states). Arkansas pays the most, $18.39, and Virginia the least, $2.93, a 6.3x spread.

State ranking

85335 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$18.39——Not classified—
2Georgia Source · since 2017-01-01$16.19——Plans negotiate; applies out of network—
3North Carolina Source · since 2025-10-01$15.88——Plans must pay at least this—
25Arizona Source · since 2026-10-01$11.58——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$11.58——Plans negotiate; applies out of network—
27Mississippi Source · since 2022-07-01$11.58——Plans must pay at least this—
49Florida Source · since 2026-01-01$6.18——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$2.93——Plans negotiate; applies out of network—
See all 50 states for 85335 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 85335 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 85335?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $11.58. Arkansas pays the most ($18.39) and Virginia the least ($2.93).

Which state pays the highest Medicaid rate for 85335?

Arkansas, at $18.39, effective 2025-03-26.

Do managed-care plans pay the same rate for 85335?

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.