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Billing code 88263 · Lab & pathology

88263 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $135.26 for 88263 across 49 states, from $72.14 in Florida to $213.50 in Iowa.

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

States publishing
49
National median
$135.26units vary by state
Lowest
$72.14Florida
Highest
$213.50Iowa
Answer

What does Medicaid pay for 88263?

49 state Medicaid programs publish a fee-for-service rate for 88263. The national median is $135.26 (units differ between states). Iowa pays the most, $213.50, and Florida the least, $72.14, a 3.0x spread.

State ranking

88263 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
1Iowa Source · since 2013-07-01$213.50——Plans must pay at least this—
2Pennsylvania Source · since 2009-03-31$207.67——Plans negotiate; applies out of network—
3Georgia Source · since 2018-10-01$188.97——Plans negotiate; applies out of network—
24Connecticut Source · since 2015-01-01$143.52——Not classified—
25Arizona Source · since 2026-10-01$135.26——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$135.26——Plans negotiate; applies out of network—
48Arkansas Source · since 2025-03-26$91.26——Not classified—
49Florida Source · since 2026-01-01$72.14——Plans negotiate; applies out of network—
See all 49 states for 88263 — 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.

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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 88263 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 88263?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $135.26. Iowa pays the most ($213.50) and Florida the least ($72.14).

Which state pays the highest Medicaid rate for 88263?

Iowa, at $213.50, effective 2013-07-01.

Do managed-care plans pay the same rate for 88263?

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.