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Billing code 87557 · Lab & pathology

87557 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $40.91 for 87557 across 43 states, from $10.00 in Kansas to $61.17 in Arkansas.

Data as of Oct 5, 202643 statesEvery rate links to its official source

States publishing
43
National median
$40.91units vary by state
Lowest
$10.00Kansas
Highest
$61.17Arkansas
Answer

What does Medicaid pay for 87557?

43 state Medicaid programs publish a fee-for-service rate for 87557. The national median is $40.91 (units differ between states). Arkansas pays the most, $61.17, and Kansas the least, $10.00, a 6.1x spread.

State ranking

87557 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$61.17——Not classified—
2Iowa Source · since 2013-07-01$60.87——Plans must pay at least this—
3Georgia Source · since 2018-10-01$53.87——Plans negotiate; applies out of network—
21Delaware Source · since 2024-01-01$41.98——Plans negotiate; applies out of network—
22Connecticut Source · since 2015-01-01$40.91——Not classified—
23North Carolina Source · since 2025-10-01$40.17——Plans must pay at least this—
42Florida Source · since 2026-01-01$26.25——Plans negotiate; applies out of network—
43Kansas Source · since 1998-01-01$10.00——Plans must pay at least this—
See all 43 states for 87557 — start free

35 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 87557 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 87557?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $40.91. Arkansas pays the most ($61.17) and Kansas the least ($10.00).

Which state pays the highest Medicaid rate for 87557?

Arkansas, at $61.17, effective 2025-03-26.

Do managed-care plans pay the same rate for 87557?

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.