Skip to content
Billing code 88162 · Lab & pathology

88162 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $58.93 for 88162 across 50 states, from $14.25 in Pennsylvania to $142.75 in Hawaii.

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

States publishing
50
National median
$58.93units vary by state
Lowest
$14.25Pennsylvania
Highest
$142.75Hawaii
Answer

What does Medicaid pay for 88162?

50 state Medicaid programs publish a fee-for-service rate for 88162. The national median is $58.93 (units differ between states). Hawaii pays the most, $142.75, and Pennsylvania the least, $14.25, a 10.0x spread.

Medicare (non-facility, 2026 physician fee schedule): $112.63–$174.57 depending on the state's Medicare locality.

State ranking

88162 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
1Hawaii Source · since 2026-06-01$142.75——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$134.02——Not classified—
3Arizona Source · since 2026-10-01$131.72——Plans negotiate; applies out of network—
25Connecticut Source · since 2026-01-01$59.78——Not classified—
26West Virginia Source · since 2026-04-01$58.07——Plans negotiate; applies out of network—
27Michigan Source · since 2026-01-01$57.94——Plans negotiate; applies out of network—
49New York Source · since 2020-05-29$19.31——Plans negotiate; applies out of network—
50Pennsylvania Source · since 2009-03-31$14.25——Plans negotiate; applies out of network—
See all 50 states for 88162 — 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.

  • 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 88162 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 88162?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $58.93. Hawaii pays the most ($142.75) and Pennsylvania the least ($14.25).

Which state pays the highest Medicaid rate for 88162?

Hawaii, at $142.75, effective 2026-06-01.

Do managed-care plans pay the same rate for 88162?

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.