86812 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $23.23 for 86812 across 49 states, from $12.00 in Pennsylvania to $36.85 in Arkansas.
- States publishing
- 49
- National median
- $23.23units vary by state
- Lowest
- $12.00Pennsylvania
- Highest
- $36.85Arkansas
What does Medicaid pay for 86812?
49 state Medicaid programs publish a fee-for-service rate for 86812. The national median is $23.23 (units differ between states). Arkansas pays the most, $36.85, and Pennsylvania the least, $12.00, a 3.1x spread.
86812 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 86812?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $23.23. Arkansas pays the most ($36.85) and Pennsylvania the least ($12.00).
Which state pays the highest Medicaid rate for 86812?
Arkansas, at $36.85, effective 2025-03-26.
Do managed-care plans pay the same rate for 86812?
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.