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Billing code 88377 · Lab & pathology

88377 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $250.43 for 88377 across 47 states, from $37.14 in Nevada to $454.48 in Montana.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$250.43units vary by state
Lowest
$37.14Nevada
Highest
$454.48Montana
Answer

What does Medicaid pay for 88377?

47 state Medicaid programs publish a fee-for-service rate for 88377. The national median is $250.43 (units differ between states). Montana pays the most, $454.48, and Nevada the least, $37.14, a 12.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $335.94–$537.48 depending on the state's Medicare locality.

State ranking

88377 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$454.48——Not classified—
2Hawaii Source · since 2026-06-01$424.73——Plans negotiate; applies out of network—
3Arizona Source · since 2026-10-01$395.87——Plans negotiate; applies out of network—
23Idaho Source · since 2026-07-01$256.62——Not classified—
24Mississippi Source · since 2026-07-01$250.43——Plans must pay at least this—
25Illinois Source · since 2024-04-01$244.39——Plans negotiate; applies out of network—
46Rhode Island Source · since 2022-07-01$37.98——Plans negotiate; applies out of network—
47Nevada Source · since 2024-05-20$37.14——Plans negotiate; applies out of network—
See all 47 states for 88377 — start free

39 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 88377 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 88377?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $250.43. Montana pays the most ($454.48) and Nevada the least ($37.14).

Which state pays the highest Medicaid rate for 88377?

Montana, at $454.48, effective 2026-07-01.

Do managed-care plans pay the same rate for 88377?

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.