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Billing code 88331 · Lab & pathology

88331 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $50.06 for 88331 across 49 states, from $25.00 in Pennsylvania to $108.69 in Alaska.

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

States publishing
49
National median
$50.06units vary by state
Lowest
$25.00Pennsylvania
Highest
$108.69Alaska
Answer

What does Medicaid pay for 88331?

49 state Medicaid programs publish a fee-for-service rate for 88331. The national median is $50.06 (units differ between states). Alaska pays the most, $108.69, and Pennsylvania the least, $25.00, a 4.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $88.61–$126.39 depending on the state's Medicare locality.

State ranking

88331 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
1Alaska Source · since 2026-07-01$108.69——Not classified—
2Hawaii Source · since 2026-06-01$105.94——Plans negotiate; applies out of network—
3Arizona Source · since 2026-10-01$100.91——Plans negotiate; applies out of network—
24District of Columbia Source · since 2026-01-01$50.58——Not classified—
25Virginia Source · since 2026-07-01$50.06——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$49.63——Plans negotiate; applies out of network—
48Nevada Source · since 2017-01-01$31.93——Plans negotiate; applies out of network—
49Pennsylvania Source · since 2009-03-31$25.00——Plans negotiate; applies out of network—
See all 49 states for 88331 — 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 88331 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 88331?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $50.06. Alaska pays the most ($108.69) and Pennsylvania the least ($25.00).

Which state pays the highest Medicaid rate for 88331?

Alaska, at $108.69, effective 2026-07-01.

Do managed-care plans pay the same rate for 88331?

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.