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Billing code 85705 · Lab & pathology

85705 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $8.57 for 85705 across 50 states, from $3.09 in Virginia to $13.75 in Arkansas.

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

States publishing
50
National median
$8.57units vary by state
Lowest
$3.09Virginia
Highest
$13.75Arkansas
Answer

What does Medicaid pay for 85705?

50 state Medicaid programs publish a fee-for-service rate for 85705. The national median is $8.57 (units differ between states). Arkansas pays the most, $13.75, and Virginia the least, $3.09, a 4.4x spread.

State ranking

85705 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$13.75——Not classified—
2Georgia Source · since 2018-10-01$12.11——Plans negotiate; applies out of network—
3North Carolina Source · since 2025-10-01$11.87——Plans must pay at least this—
25Oklahoma Source · since 2024-01-01$8.57——Plans must pay at least this—
26California Source · since 2026-10-01$8.56——Plans negotiate; applies out of network—
27Massachusetts Source · since 2024-09-01$8.49——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$4.62——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$3.09——Plans negotiate; applies out of network—
See all 50 states for 85705 — 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 85705 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 85705?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $8.57. Arkansas pays the most ($13.75) and Virginia the least ($3.09).

Which state pays the highest Medicaid rate for 85705?

Arkansas, at $13.75, effective 2025-03-26.

Do managed-care plans pay the same rate for 85705?

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.