85461 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $8.29 for 85461 across 50 states, from $4.17 in California to $10.10 in Texas.
- States publishing
- 50
- National median
- $8.29units vary by state
- Lowest
- $4.17California
- Highest
- $10.10Texas
What does Medicaid pay for 85461?
50 state Medicaid programs publish a fee-for-service rate for 85461. The national median is $8.29 (units differ between states). Texas pays the most, $10.10, and California the least, $4.17, a 2.4x spread.
85461 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.
Frequently asked questions
What does Medicaid pay for 85461?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $8.29. Texas pays the most ($10.10) and California the least ($4.17).
Which state pays the highest Medicaid rate for 85461?
Texas, at $10.10, effective 2019-07-04.
Do managed-care plans pay the same rate for 85461?
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.