86042 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $15.92 for 86042 across 43 states, from $9.20 in Nevada to $19.87 in Texas.
- States publishing
- 43
- National median
- $15.92units vary by state
- Lowest
- $9.20Nevada
- Highest
- $19.87Texas
What does Medicaid pay for 86042?
43 state Medicaid programs publish a fee-for-service rate for 86042. The national median is $15.92 (units differ between states). Texas pays the most, $19.87, and Nevada the least, $9.20, a 2.2x spread.
86042 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 86042?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $15.92. Texas pays the most ($19.87) and Nevada the least ($9.20).
Which state pays the highest Medicaid rate for 86042?
Texas, at $19.87, effective 2019-07-04.
Do managed-care plans pay the same rate for 86042?
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.