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Billing code 88363 · Lab & pathology

88363 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $18.62 for 88363 across 41 states, from $10.32 in Rhode Island to $34.42 in Iowa.

Data as of Oct 5, 202641 statesEvery rate links to its official source

States publishing
41
National median
$18.62units vary by state
Lowest
$10.32Rhode Island
Highest
$34.42Iowa
Answer

What does Medicaid pay for 88363?

41 state Medicaid programs publish a fee-for-service rate for 88363. The national median is $18.62 (units differ between states). Iowa pays the most, $34.42, and Rhode Island the least, $10.32, a 3.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $20.98–$28.15 depending on the state's Medicare locality.

State ranking

88363 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2013-07-01$34.42——Plans must pay at least this—
2Kentucky Source · since 2025-01-01$33.23——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$32.78——Not classified—
20Hawaii Source · since 2026-06-01$18.65——Plans negotiate; applies out of network—
21Idaho Source · since 2026-07-01$18.62——Not classified—
22New Jersey Source · since 2026-07-01$18.38——Not classified—
40Ohio Source · since 2026-04-01$11.36——Plans negotiate; applies out of network—
41Rhode Island Source · since 2011-01-01$10.32——Plans negotiate; applies out of network—
See all 41 states for 88363 — start free

33 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 88363 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 88363?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $18.62. Iowa pays the most ($34.42) and Rhode Island the least ($10.32).

Which state pays the highest Medicaid rate for 88363?

Iowa, at $34.42, effective 2013-07-01.

Do managed-care plans pay the same rate for 88363?

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.