86001 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $6.71 for 86001 across 46 states, from $3.56 in Nevada to $9.38 in New Mexico.
- States publishing
- 46
- National median
- $6.71units vary by state
- Lowest
- $3.56Nevada
- Highest
- $9.38New Mexico
What does Medicaid pay for 86001?
46 state Medicaid programs publish a fee-for-service rate for 86001. The national median is $6.71 (units differ between states). New Mexico pays the most, $9.38, and Nevada the least, $3.56, a 2.6x spread.
86001 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 86001?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $6.71. New Mexico pays the most ($9.38) and Nevada the least ($3.56).
Which state pays the highest Medicaid rate for 86001?
New Mexico, at $9.38, effective 2023-07-01.
Do managed-care plans pay the same rate for 86001?
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.