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Billing code 85370 · Lab & pathology

85370 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $11.05 for 85370 across 50 states, from $5.97 in Florida to $16.22 in Arkansas.

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

States publishing
50
National median
$11.05units vary by state
Lowest
$5.97Florida
Highest
$16.22Arkansas
Answer

What does Medicaid pay for 85370?

50 state Medicaid programs publish a fee-for-service rate for 85370. The national median is $11.05 (units differ between states). Arkansas pays the most, $16.22, and Florida the least, $5.97, a 2.7x spread.

State ranking

85370 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$16.22——Not classified—
2Iowa Source · since 2013-07-01$16.14——Plans must pay at least this—
3Georgia Source · since 2017-01-01$14.28——Plans negotiate; applies out of network—
25Oklahoma Source · since 2024-01-01$11.06——Plans must pay at least this—
26Wisconsin Source · since 2015-01-01$11.03——Plans negotiate; applies out of network—
27Massachusetts Source · since 2024-09-01$10.96——Plans negotiate; applies out of network—
49Maine Source · since 2016-01-02$7.02——Not classified—
50Florida Source · since 2026-01-01$5.97——Plans negotiate; applies out of network—
See all 50 states for 85370 — 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 85370 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 85370?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $11.05. Arkansas pays the most ($16.22) and Florida the least ($5.97).

Which state pays the highest Medicaid rate for 85370?

Arkansas, at $16.22, effective 2025-03-26.

Do managed-care plans pay the same rate for 85370?

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.