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Billing code 87560 · Lab & pathology

87560 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $24.56 for 87560 across 48 states, from $10.00 in Kansas to $29.47 in Texas.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$24.56units vary by state
Lowest
$10.00Kansas
Highest
$29.47Texas
Answer

What does Medicaid pay for 87560?

48 state Medicaid programs publish a fee-for-service rate for 87560. The national median is $24.56 (units differ between states). Texas pays the most, $29.47, and Kansas the least, $10.00, a 2.9x spread.

State ranking

87560 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$29.47——Plans negotiate; applies out of network—
2Arkansas Source · since 2025-03-26$28.63——Not classified—
3Iowa Source · since 2013-07-01$28.49——Plans must pay at least this—
24Mississippi Source · since 2022-07-01$24.56——Plans must pay at least this—
25West Virginia Source · since 2023-04-01$24.56——Plans negotiate; applies out of network—
26Oklahoma Source · since 2024-01-01$24.27——Plans must pay at least this—
47Florida Source · since 2026-01-01$13.10——Plans negotiate; applies out of network—
48Kansas Source · since 1998-01-01$10.00——Plans must pay at least this—
See all 48 states for 87560 — start free

40 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 87560 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 87560?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $24.56. Texas pays the most ($29.47) and Kansas the least ($10.00).

Which state pays the highest Medicaid rate for 87560?

Texas, at $29.47, effective 2019-07-04.

Do managed-care plans pay the same rate for 87560?

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.