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Billing code 88319 · Lab & pathology

88319 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $75.11 for 88319 across 48 states, from $13.91 in New Jersey to $157.54 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$75.11units vary by state
Lowest
$13.91New Jersey
Highest
$157.54Alaska
Answer

What does Medicaid pay for 88319?

48 state Medicaid programs publish a fee-for-service rate for 88319. The national median is $75.11 (units differ between states). Alaska pays the most, $157.54, and New Jersey the least, $13.91, a 11.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $115.44–$183.57 depending on the state's Medicare locality.

State ranking

88319 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$157.54——Not classified—
2Montana Source · since 2026-07-01$149.77——Not classified—
3Hawaii Source · since 2026-06-01$147.77——Plans negotiate; applies out of network—
24Ohio Source · since 2025-04-01$77.38——Plans negotiate; applies out of network—
25Iowa Source · since 2014-11-01$72.83——Plans must pay at least this—
26Connecticut Source · since 2026-01-01$69.50——Not classified—
47Colorado Source · since 2026-07-01$21.48——Plans negotiate; applies out of network—
48New Jersey Source · since 2023-12-01$13.91——Not classified—
See all 48 states for 88319 — start free

40 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 88319 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 88319?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $75.11. Alaska pays the most ($157.54) and New Jersey the least ($13.91).

Which state pays the highest Medicaid rate for 88319?

Alaska, at $157.54, effective 2026-07-01.

Do managed-care plans pay the same rate for 88319?

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.