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Billing code 88364 · Lab & pathology

88364 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $76.26 for 88364 across 48 states, from $16.88 in Nevada to $179.38 in New York.

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

States publishing
48
National median
$76.26units vary by state
Lowest
$16.88Nevada
Highest
$179.38New York
Answer

What does Medicaid pay for 88364?

48 state Medicaid programs publish a fee-for-service rate for 88364. The national median is $76.26 (units differ between states). New York pays the most, $179.38, and Nevada the least, $16.88, a 10.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $111.71–$174.40 depending on the state's Medicare locality.

State ranking

88364 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
1New York Source$179.38——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$140.08——Plans negotiate; applies out of network—
3Montana Source · since 2026-07-01$133.34——Not classified—
24Texas Source · since 2025-09-01$77.25——Plans negotiate; applies out of network—
25Idaho Source · since 2026-07-01$75.27——Not classified—
26Florida Source · since 2026-01-01$74.32——Plans negotiate; applies out of network—
47Rhode Island Source · since 2023-01-01$20.23——Plans negotiate; applies out of network—
48Nevada Source · since 2024-05-20$16.88——Plans negotiate; applies out of network—
See all 48 states for 88364 — 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 88364 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 88364?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $76.26. New York pays the most ($179.38) and Nevada the least ($16.88).

Which state pays the highest Medicaid rate for 88364?

New York, at $179.38.

Do managed-care plans pay the same rate for 88364?

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.