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Billing code 88187 · Lab & pathology

88187 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $33.05 for 88187 across 50 states, from $11.30 in Utah to $84.86 in Arkansas.

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

States publishing
50
National median
$33.05units vary by state
Lowest
$11.30Utah
Highest
$84.86Arkansas
Answer

What does Medicaid pay for 88187?

50 state Medicaid programs publish a fee-for-service rate for 88187. The national median is $33.05 (units differ between states). Arkansas pays the most, $84.86, and Utah the least, $11.30, a 7.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $33.17–$47.30 depending on the state's Medicare locality.

State ranking

88187 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
1Arkansas Source · since 2025-03-26$84.86——Not classified—
2Nebraska Source · since 2026-07-01$71.98——Plans negotiate; applies out of network—
3Wisconsin Source · since 2008-07-01$68.28——Plans negotiate; applies out of network—
25Indiana Source · since 2026-01-01$33.06unit—Plans must pay at least this—
26Illinois Source · since 2024-04-01$33.03——Plans negotiate; applies out of network—
27California Source · since 2026-10-01$32.96——Plans negotiate; applies out of network—
49New York Source · since 2020-05-29$20.20——Plans negotiate; applies out of network—
50Utah Source · since 2010-07-01$11.30——Plans negotiate; applies out of network—
See all 50 states for 88187 — 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.

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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 88187 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 88187?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $33.05. Arkansas pays the most ($84.86) and Utah the least ($11.30).

Which state pays the highest Medicaid rate for 88187?

Arkansas, at $84.86, effective 2025-03-26.

Do managed-care plans pay the same rate for 88187?

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.