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Billing code 88365 · Lab & pathology

88365 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $100.17 for 88365 across 50 states, from $28.28 in Rhode Island to $190.24 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$100.17units vary by state
Lowest
$28.28Rhode Island
Highest
$190.24Alaska
Answer

What does Medicaid pay for 88365?

50 state Medicaid programs publish a fee-for-service rate for 88365. The national median is $100.17 (units differ between states). Alaska pays the most, $190.24, and Rhode Island the least, $28.28, a 6.7x spread.

Medicare (non-facility, 2026 physician fee schedule): $148.88–$233.27 depending on the state's Medicare locality.

State ranking

88365 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$190.24——Not classified—
2Hawaii Source · since 2026-06-01$189.20——Plans negotiate; applies out of network—
3Montana Source · since 2026-07-01$180.76——Not classified—
25Florida Source · since 2026-01-01$100.75——Plans negotiate; applies out of network—
26Mississippi Source · since 2026-07-01$99.58——Plans must pay at least this—
27South Carolina Source · since 2024-07-01$95.10——Not classified—
49Texas Source · since 2025-09-01$34.80——Plans negotiate; applies out of network—
50Rhode Island Source · since 2000-01-01$28.28——Plans negotiate; applies out of network—
See all 50 states for 88365 — start free

42 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 88365 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 88365?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $100.17. Alaska pays the most ($190.24) and Rhode Island the least ($28.28).

Which state pays the highest Medicaid rate for 88365?

Alaska, at $190.24, effective 2026-07-01.

Do managed-care plans pay the same rate for 88365?

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.