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Billing code 88130 · Lab & pathology

88130 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.18 for 88130 across 46 states, from $7.00 in New Jersey to $21.48 in Arkansas.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$16.18units vary by state
Lowest
$7.00New Jersey
Highest
$21.48Arkansas
Answer

What does Medicaid pay for 88130?

46 state Medicaid programs publish a fee-for-service rate for 88130. The national median is $16.18 (units differ between states). Arkansas pays the most, $21.48, and New Jersey the least, $7.00, a 3.1x spread.

State ranking

88130 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$21.48——Not classified—
2Iowa Source · since 2013-07-01$21.37——Plans must pay at least this—
3Georgia Source · since 2017-01-01$18.92——Plans negotiate; applies out of network—
23Mississippi Source · since 2022-07-01$16.18——Plans must pay at least this—
24West Virginia Source · since 2023-04-01$16.18——Plans negotiate; applies out of network—
25Oklahoma Source · since 2024-01-01$15.99——Plans must pay at least this—
45Virginia Source · since 2014-07-01$7.02——Plans negotiate; applies out of network—
46New Jersey Source · since 2025-01-01$7.00——Not classified—
See all 46 states for 88130 — start free

38 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 88130 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 88130?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $16.18. Arkansas pays the most ($21.48) and New Jersey the least ($7.00).

Which state pays the highest Medicaid rate for 88130?

Arkansas, at $21.48, effective 2025-03-26.

Do managed-care plans pay the same rate for 88130?

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.