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Billing code 86713 · Lab & pathology

86713 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $14.77 for 86713 across 50 states, from $8.30 in Florida to $21.86 in Arkansas.

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

States publishing
50
National median
$14.77units vary by state
Lowest
$8.30Florida
Highest
$21.86Arkansas
Answer

What does Medicaid pay for 86713?

50 state Medicaid programs publish a fee-for-service rate for 86713. The national median is $14.77 (units differ between states). Arkansas pays the most, $21.86, and Florida the least, $8.30, a 2.6x spread.

State ranking

86713 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$21.86——Not classified—
2Iowa Source · since 2013-07-01$21.70——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-09$20.85——Plans negotiate; applies out of network—
25Vermont Source · since 2025-01-01$14.92——Not classified—
26Connecticut Source · since 2015-01-01$14.62——Not classified—
27Arizona Source · since 2026-10-01$13.77——Plans negotiate; applies out of network—
49Illinois Source · since 2024-04-01$10.42——Plans negotiate; applies out of network—
50Florida Source · since 2026-01-01$8.30——Plans negotiate; applies out of network—
See all 50 states for 86713 — 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 86713 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 86713?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $14.77. Arkansas pays the most ($21.86) and Florida the least ($8.30).

Which state pays the highest Medicaid rate for 86713?

Arkansas, at $21.86, effective 2025-03-26.

Do managed-care plans pay the same rate for 86713?

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.