87197 Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $14.43 for 87197 across 47 states, from $8.36 in Virginia to $21.34 in Iowa.
- States publishing
- 47
- National median
- $14.43units vary by state
- Lowest
- $8.36Virginia
- Highest
- $21.34Iowa
What does Medicaid pay for 87197?
47 state Medicaid programs publish a fee-for-service rate for 87197. The national median is $14.43 (units differ between states). Iowa pays the most, $21.34, and Virginia the least, $8.36, a 2.6x spread.
87197 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.
Frequently asked questions
What does Medicaid pay for 87197?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $14.43. Iowa pays the most ($21.34) and Virginia the least ($8.36).
Which state pays the highest Medicaid rate for 87197?
Iowa, at $21.34, effective 2013-07-01.
Do managed-care plans pay the same rate for 87197?
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.