Skip to content
Billing code 88155 · Lab & pathology

88155 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $12.13 for 88155 across 49 states, from $3.34 in Virginia to $17.58 in New Mexico.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$12.13units vary by state
Lowest
$3.34Virginia
Highest
$17.58New Mexico
Answer

What does Medicaid pay for 88155?

49 state Medicaid programs publish a fee-for-service rate for 88155. The national median is $12.13 (units differ between states). New Mexico pays the most, $17.58, and Virginia the least, $3.34, a 5.3x spread.

State ranking

88155 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2023-07-01$17.58——Plans must pay at least this—
2Texas Source · since 2019-07-04$15.82——Plans negotiate; applies out of network—
3Montana Source · since 2018-07-01$14.65——Not classified—
24Colorado Source · since 2026-07-01$12.20——Not classified—
25Michigan Source · since 2023-01-01$12.13——Plans negotiate; applies out of network—
26New Jersey Source · since 2025-01-01$11.72——Not classified—
48Nevada Source · since 2017-01-01$4.09——Plans negotiate; applies out of network—
49Virginia Source · since 2014-07-01$3.34——Plans negotiate; applies out of network—
See all 49 states for 88155 — start free

41 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 88155 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 88155?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $12.13. New Mexico pays the most ($17.58) and Virginia the least ($3.34).

Which state pays the highest Medicaid rate for 88155?

New Mexico, at $17.58, effective 2023-07-01.

Do managed-care plans pay the same rate for 88155?

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.