85525 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $10.66 for 85525 across 49 states, from $4.39 in Virginia to $16.38 in Pennsylvania.
- States publishing
- 49
- National median
- $10.66units vary by state
- Lowest
- $4.39Virginia
- Highest
- $16.38Pennsylvania
What does Medicaid pay for 85525?
49 state Medicaid programs publish a fee-for-service rate for 85525. The national median is $10.66 (units differ between states). Pennsylvania pays the most, $16.38, and Virginia the least, $4.39, a 3.7x spread.
85525 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 85525?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $10.66. Pennsylvania pays the most ($16.38) and Virginia the least ($4.39).
Which state pays the highest Medicaid rate for 85525?
Pennsylvania, at $16.38, effective 2009-04-08.
Do managed-care plans pay the same rate for 85525?
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.