86403 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $10.39 for 86403 across 50 states, from $3.79 in New York to $14.55 in Arkansas.
- States publishing
- 50
- National median
- $10.39units vary by state
- Lowest
- $3.79New York
- Highest
- $14.55Arkansas
What does Medicaid pay for 86403?
50 state Medicaid programs publish a fee-for-service rate for 86403. The national median is $10.39 (units differ between states). Arkansas pays the most, $14.55, and New York the least, $3.79, a 3.8x spread.
86403 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.
Frequently asked questions
What does Medicaid pay for 86403?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $10.39. Arkansas pays the most ($14.55) and New York the least ($3.79).
Which state pays the highest Medicaid rate for 86403?
Arkansas, at $14.55, effective 2025-06-04.
Do managed-care plans pay the same rate for 86403?
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.