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Billing code 87400 · Lab & pathology

87400 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $12.21 for 87400 across 49 states, from $5.79 in California to $16.96 in New Mexico.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$12.21units vary by state
Lowest
$5.79California
Highest
$16.96New Mexico
Answer

What does Medicaid pay for 87400?

49 state Medicaid programs publish a fee-for-service rate for 87400. The national median is $12.21 (units differ between states). New Mexico pays the most, $16.96, and California the least, $5.79, a 2.9x spread.

State ranking

87400 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2023-07-01$16.96——Plans must pay at least this—
2Georgia Source · since 2018-10-01$15.08——Plans negotiate; applies out of network—
3Wyoming Source · since 2021-01-01$14.70——Not classified—
24New Hampshire Source · since 2025-01-01$12.22——Plans negotiate; applies out of network—
25Idaho Source · since 2025-09-01$12.21——Not classified—
26Louisiana Source · since 2025-07-01$12.01——Plans must pay at least this—
48Pennsylvania Source · since 2024-01-01$6.09——Plans negotiate; applies out of network—
49California Source · since 2026-10-01$5.79——Plans negotiate; applies out of network—
See all 49 states for 87400 — start free

41 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 87400 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 87400?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $12.21. New Mexico pays the most ($16.96) and California the least ($5.79).

Which state pays the highest Medicaid rate for 87400?

New Mexico, at $16.96, effective 2023-07-01.

Do managed-care plans pay the same rate for 87400?

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.