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Billing code 88104 · Lab & pathology

88104 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $36.07 for 88104 across 50 states, from $17.13 in Rhode Island to $87.10 in Arizona.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$36.07units vary by state
Lowest
$17.13Rhode Island
Highest
$87.10Arizona
Answer

What does Medicaid pay for 88104?

50 state Medicaid programs publish a fee-for-service rate for 88104. The national median is $36.07 (units differ between states). Arizona pays the most, $87.10, and Rhode Island the least, $17.13, a 5.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $74.55–$114.37 depending on the state's Medicare locality.

State ranking

88104 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$87.10——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$85.93——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$85.34——Plans negotiate; applies out of network—
25Washington Source · since 2026-07-01$36.12——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$36.01——Plans negotiate; applies out of network—
27South Carolina Source · since 2024-07-01$34.23——Not classified—
49Arkansas Source · since 2025-03-26$19.27——Not classified—
50Rhode Island Source · since 2000-01-01$17.13——Plans negotiate; applies out of network—
See all 50 states for 88104 — start free

42 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 88104 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 88104?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $36.07. Arizona pays the most ($87.10) and Rhode Island the least ($17.13).

Which state pays the highest Medicaid rate for 88104?

Arizona, at $87.10, effective 2026-10-01.

Do managed-care plans pay the same rate for 88104?

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.