Skip to content
Billing code 86834 · Lab & pathology

86834 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $350.41 for 86834 across 45 states, from $10.27 in California to $471.58 in Iowa.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$350.41units vary by state
Lowest
$10.27California
Highest
$471.58Iowa
Answer

What does Medicaid pay for 86834?

45 state Medicaid programs publish a fee-for-service rate for 86834. The national median is $350.41 (units differ between states). Iowa pays the most, $471.58, and California the least, $10.27, a 45.9x spread.

State ranking

86834 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2013-07-01$471.58——Plans must pay at least this—
2Arkansas Source · since 2025-03-26$455.39——Not classified—
3Wyoming Source · since 2021-01-01$431.28——Not classified—
22Maryland Source · since 2026-02-01$350.94——Not classified—
23Delaware Source · since 2024-01-01$350.41——Plans negotiate; applies out of network—
24Vermont Source · since 2025-01-01$348.62——Not classified—
44Alabama Source · since 2026-04-10$250.29——Not classified—
45California Source · since 2026-10-01$10.27——Plans negotiate; applies out of network—
See all 45 states for 86834 — start free

37 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 86834 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 86834?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $350.41. Iowa pays the most ($471.58) and California the least ($10.27).

Which state pays the highest Medicaid rate for 86834?

Iowa, at $471.58, effective 2013-07-01.

Do managed-care plans pay the same rate for 86834?

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.