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Billing code 88356 · Lab & pathology

88356 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $106.60 for 88356 across 48 states, from $25.62 in New York to $248.50 in Hawaii.

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

States publishing
48
National median
$106.60units vary by state
Lowest
$25.62New York
Highest
$248.50Hawaii
Answer

What does Medicaid pay for 88356?

48 state Medicaid programs publish a fee-for-service rate for 88356. The national median is $106.60 (units differ between states). Hawaii pays the most, $248.50, and New York the least, $25.62, a 9.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $204.28–$290.31 depending on the state's Medicare locality.

State ranking

88356 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
1Hawaii Source · since 2026-06-01$248.50——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$232.63——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$226.26——Plans negotiate; applies out of network—
24Iowa Source · since 2013-07-01$108.09——Plans must pay at least this—
25New Hampshire Source · since 2023-07-01$105.11——Plans negotiate; applies out of network—
26Oklahoma Source · since 2026-07-01$103.21——Plans must pay at least this—
47Washington Source · since 2026-07-01$69.94——Plans may pay no more—
48New York Source · since 2020-05-29$25.62——Plans negotiate; applies out of network—
See all 48 states for 88356 — 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 88356 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 88356?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $106.60. Hawaii pays the most ($248.50) and New York the least ($25.62).

Which state pays the highest Medicaid rate for 88356?

Hawaii, at $248.50, effective 2026-06-01.

Do managed-care plans pay the same rate for 88356?

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.