Skip to content
Billing code 87906 · Lab & pathology

87906 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $119.40 for 87906 across 48 states, from $40.52 in Maine to $181.14 in Arkansas.

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

States publishing
48
National median
$119.40units vary by state
Lowest
$40.52Maine
Highest
$181.14Arkansas
Answer

What does Medicaid pay for 87906?

48 state Medicaid programs publish a fee-for-service rate for 87906. The national median is $119.40 (units differ between states). Arkansas pays the most, $181.14, and Maine the least, $40.52, a 4.5x spread.

State ranking

87906 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
1Arkansas Source · since 2025-03-26$181.14——Not classified—
2Iowa Source · since 2013-07-01$173.80——Plans must pay at least this—
3New Mexico Source · since 2023-07-01$154.48——Plans must pay at least this—
24Connecticut Source · since 2015-01-01$122.93——Not classified—
25Missouri Source · since 2026-07-01$115.86——Plans negotiate; applies out of network—
26Mississippi Source · since 2022-07-01$115.86——Plans must pay at least this—
47North Carolina Source · since 2025-10-01$48.48——Plans must pay at least this—
48Maine Source · since 2016-01-02$40.52——Not classified—
See all 48 states for 87906 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 87906 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 87906?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $119.40. Arkansas pays the most ($181.14) and Maine the least ($40.52).

Which state pays the highest Medicaid rate for 87906?

Arkansas, at $181.14, effective 2025-03-26.

Do managed-care plans pay the same rate for 87906?

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.