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Billing code 89049 · Lab & pathology

89049 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $173.76 for 89049 across 45 states, from $10.07 in Iowa to $549.00 in Alaska.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$173.76units vary by state
Lowest
$10.07Iowa
Highest
$549.00Alaska
Answer

What does Medicaid pay for 89049?

45 state Medicaid programs publish a fee-for-service rate for 89049. The national median is $173.76 (units differ between states). Alaska pays the most, $549.00, and Iowa the least, $10.07, a 54.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $308.80–$490.38 depending on the state's Medicare locality.

State ranking

89049 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$549.00——Not classified—
2Montana Source · since 2026-07-01$498.14——Not classified—
3North Dakota Source · since 2026-07-01$394.27——Not classified—
22Connecticut Source · since 2026-01-01$182.72——Not classified—
23Alabama Source · since 2026-04-10$173.76——Not classified—
24Georgia Source · since 2017-01-01$163.79——Plans negotiate; applies out of network—
44Washington Source · since 2026-07-01$33.63——Plans may pay no more—
45Iowa Source · since 2013-07-01$10.07——Plans must pay at least this—
See all 45 states for 89049 — start free

37 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 89049 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 89049?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $173.76. Alaska pays the most ($549.00) and Iowa the least ($10.07).

Which state pays the highest Medicaid rate for 89049?

Alaska, at $549.00, effective 2026-07-01.

Do managed-care plans pay the same rate for 89049?

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.