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Billing code 86902 · Lab & pathology

86902 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $5.40 for 86902 across 47 states, from $2.74 in Nevada to $6.85 in Texas.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$5.40units vary by state
Lowest
$2.74Nevada
Highest
$6.85Texas
Answer

What does Medicaid pay for 86902?

47 state Medicaid programs publish a fee-for-service rate for 86902. The national median is $5.40 (units differ between states). Texas pays the most, $6.85, and Nevada the least, $2.74, a 2.5x spread.

State ranking

86902 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$6.85——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$6.35——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$6.35——Plans negotiate; applies out of network—
23Louisiana Source · since 2025-07-01$5.40——Plans must pay at least this—
24Kansas Source · since 2023-07-01$5.40——Plans must pay at least this—
25Arkansas Source · since 2025-03-26$5.38——Not classified—
46Pennsylvania Source · since 2011-08-08$2.82——Plans negotiate; applies out of network—
47Nevada Source · since 2024-01-01$2.74——Plans negotiate; applies out of network—
See all 47 states for 86902 — start free

39 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 86902 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 86902?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $5.40. Texas pays the most ($6.85) and Nevada the least ($2.74).

Which state pays the highest Medicaid rate for 86902?

Texas, at $6.85, effective 2019-07-04.

Do managed-care plans pay the same rate for 86902?

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.