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Billing code 88120 · Lab & pathology

88120 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $387.24 for 88120 across 45 states, from $41.58 in Pennsylvania to $793.97 in Nebraska.

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

States publishing
45
National median
$387.24units vary by state
Lowest
$41.58Pennsylvania
Highest
$793.97Nebraska
Answer

What does Medicaid pay for 88120?

45 state Medicaid programs publish a fee-for-service rate for 88120. The national median is $387.24 (units differ between states). Nebraska pays the most, $793.97, and Pennsylvania the least, $41.58, a 19.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $470.60–$767.22 depending on the state's Medicare locality.

State ranking

88120 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
1Nebraska Source · since 2026-07-01$793.97——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$722.51——Not classified—
3Montana Source · since 2026-07-01$685.47——Not classified—
22Texas Source · since 2025-09-01$403.10——Plans negotiate; applies out of network—
23Idaho Source · since 2026-07-01$387.24——Not classified—
24Mississippi Source · since 2026-07-01$377.78——Plans must pay at least this—
44Missouri Source · since 2026-07-01$153.58——Plans must pay at least this—
45Pennsylvania Source · since 2011-08-08$41.58——Plans negotiate; applies out of network—
See all 45 states for 88120 — 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 88120 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 88120?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $387.24. Nebraska pays the most ($793.97) and Pennsylvania the least ($41.58).

Which state pays the highest Medicaid rate for 88120?

Nebraska, at $793.97, effective 2026-07-01.

Do managed-care plans pay the same rate for 88120?

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.