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Billing code 87506 · Lab & pathology

87506 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $232.94 for 87506 across 45 states, from $15.47 in Florida to $290.45 in Arkansas.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$232.94units vary by state
Lowest
$15.47Florida
Highest
$290.45Arkansas
Answer

What does Medicaid pay for 87506?

45 state Medicaid programs publish a fee-for-service rate for 87506. The national median is $232.94 (units differ between states). Arkansas pays the most, $290.45, and Florida the least, $15.47, a 18.8x spread.

State ranking

87506 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$290.45——Not classified—
2Montana Source · since 2019-01-01$262.99——Not classified—
3Texas Source · since 2019-07-17$262.99——Plans negotiate; applies out of network—
22Wyoming Source · since 2025-09-01$236.69——Not classified—
23Wisconsin Source · since 2015-01-01$232.94——Plans negotiate; applies out of network—
24Massachusetts Source · since 2024-09-01$231.92——Plans negotiate; applies out of network—
44Maine Source · since 2023-07-01$109.43——Not classified—
45Florida Source · since 2026-01-01$15.47——Plans negotiate; applies out of network—
See all 45 states for 87506 — start free

37 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 87506 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 87506?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $232.94. Arkansas pays the most ($290.45) and Florida the least ($15.47).

Which state pays the highest Medicaid rate for 87506?

Arkansas, at $290.45, effective 2025-03-26.

Do managed-care plans pay the same rate for 87506?

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.