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Billing code 88125 · Lab & pathology

88125 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $12.96 for 88125 across 36 states, from $6.75 in Nevada to $35.66 in Nebraska.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$12.96units vary by state
Lowest
$6.75Nevada
Highest
$35.66Nebraska
Answer

What does Medicaid pay for 88125?

36 state Medicaid programs publish a fee-for-service rate for 88125. The national median is $12.96 (units differ between states). Nebraska pays the most, $35.66, and Nevada the least, $6.75, a 5.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $24.76–$32.81 depending on the state's Medicare locality.

State ranking

88125 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$35.66——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$30.70——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$30.00——Not classified—
18Virginia Source · since 2026-07-01$13.02——Plans negotiate; applies out of network—
19Missouri Source · since 2026-07-01$12.90——Plans negotiate; applies out of network—
20New Jersey Source · since 2026-07-01$12.47——Not classified—
35Rhode Island Source · since 1993-04-01$7.64——Plans negotiate; applies out of network—
36Nevada Source · since 2017-01-01$6.75——Plans negotiate; applies out of network—
See all 36 states for 88125 — start free

28 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 88125 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 88125?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $12.96. Nebraska pays the most ($35.66) and Nevada the least ($6.75).

Which state pays the highest Medicaid rate for 88125?

Nebraska, at $35.66, effective 2026-07-01.

Do managed-care plans pay the same rate for 88125?

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.