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Billing code 86977 · Lab & pathology

86977 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $18.07 for 86977 across 24 states, from $5.97 in Louisiana to $166.55 in New Mexico.

Data as of Oct 5, 202624 statesEvery rate links to its official source

States publishing
24
National median
$18.07units vary by state
Lowest
$5.97Louisiana
Highest
$166.55New Mexico
Answer

What does Medicaid pay for 86977?

24 state Medicaid programs publish a fee-for-service rate for 86977. The national median is $18.07 (units differ between states). New Mexico pays the most, $166.55, and Louisiana the least, $5.97, a 27.9x spread.

State ranking

86977 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$166.55——Plans must pay at least this—
2Kansas Source · since 2023-07-01$129.47——Plans must pay at least this—
3Missouri Source · since 2021-01-01$119.32——Plans negotiate; applies out of network—
12Colorado Source · since 2026-07-01$18.33——Plans negotiate; applies out of network—
13Nevada Source · since 2017-01-01$17.81——Plans negotiate; applies out of network—
14California Source · since 2026-10-01$16.65——Plans negotiate; applies out of network—
23Connecticut Source · since 2015-01-01$7.60——Not classified—
24Louisiana Source · since 2012-07-01$5.97——Plans must pay at least this—
See all 24 states for 86977 — start free

16 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 86977 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 86977?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $18.07. New Mexico pays the most ($166.55) and Louisiana the least ($5.97).

Which state pays the highest Medicaid rate for 86977?

New Mexico, at $166.55, effective 2025-01-01.

Do managed-care plans pay the same rate for 86977?

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.