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Billing code 85610 · Lab & pathology

85610 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $3.86 for 85610 across 50 states, from $2.06 in Florida to $5.61 in Arkansas.

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

States publishing
50
National median
$3.86units vary by state
Lowest
$2.06Florida
Highest
$5.61Arkansas
Answer

What does Medicaid pay for 85610?

50 state Medicaid programs publish a fee-for-service rate for 85610. The national median is $3.86 (units differ between states). Arkansas pays the most, $5.61, and Florida the least, $2.06, a 2.7x spread.

State ranking

85610 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$5.61——Not classified—
2New Mexico Source · since 2023-07-01$5.15——Plans must pay at least this—
3Iowa Source · since 2024-01-01$4.97——Plans must pay at least this—
25Arizona Source · since 2026-07-01$3.86——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$3.86——Plans negotiate; applies out of network—
27Maryland Source · since 2026-02-01$3.86——Not classified—
49Nevada Source · since 2017-01-01$2.69——Plans negotiate; applies out of network—
50Florida Source · since 2026-01-01$2.06——Plans negotiate; applies out of network—
See all 50 states for 85610 — 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 85610 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 85610?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $3.86. Arkansas pays the most ($5.61) and Florida the least ($2.06).

Which state pays the highest Medicaid rate for 85610?

Arkansas, at $5.61, effective 2025-03-26.

Do managed-care plans pay the same rate for 85610?

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.