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Billing code 86950 · Lab & pathology

86950 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $41.60 for 86950 across 21 states, from $3.74 in Washington to $168.93 in Nebraska.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$41.60units vary by state
Lowest
$3.74Washington
Highest
$168.93Nebraska
Answer

What does Medicaid pay for 86950?

21 state Medicaid programs publish a fee-for-service rate for 86950. The national median is $41.60 (units differ between states). Nebraska pays the most, $168.93, and Washington the least, $3.74, a 45.2x spread.

State ranking

86950 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$168.93——Plans negotiate; applies out of network—
2Kansas Source · since 2023-07-01$129.47——Plans must pay at least this—
3Mississippi Source · since 2025-07-01$126.55——Plans must pay at least this—
10Connecticut Source · since 2015-01-01$41.80——Not classified—
11Florida Source · since 2026-01-01$41.60——Plans negotiate; applies out of network—
12Iowa Source · since 2013-07-01$40.48——Plans must pay at least this—
20Illinois Source · since 2013-01-01$25.01——Plans negotiate; applies out of network—
21Washington Source · since 2026-01-01$3.74——Plans may pay no more—
See all 21 states for 86950 — start free

13 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 86950 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 86950?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $41.60. Nebraska pays the most ($168.93) and Washington the least ($3.74).

Which state pays the highest Medicaid rate for 86950?

Nebraska, at $168.93, effective 2026-07-01.

Do managed-care plans pay the same rate for 86950?

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.