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Billing code 89310 · Lab & pathology

89310 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $8.39 for 89310 across 29 states, from $4.00 in Virginia to $12.05 in Iowa.

Data as of Oct 5, 202629 statesEvery rate links to its official source

States publishing
29
National median
$8.39units vary by state
Lowest
$4.00Virginia
Highest
$12.05Iowa
Answer

What does Medicaid pay for 89310?

29 state Medicaid programs publish a fee-for-service rate for 89310. The national median is $8.39 (units differ between states). Iowa pays the most, $12.05, and Virginia the least, $4.00, a 3.0x spread.

State ranking

89310 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2013-07-01$12.05——Plans must pay at least this—
2Georgia Source · since 2018-10-01$10.83——Plans negotiate; applies out of network—
3Wyoming Source · since 2021-01-01$10.56——Not classified—
14Delaware Source · since 2024-01-01$8.44——Plans negotiate; applies out of network—
15Vermont Source · since 2025-01-01$8.39——Not classified—
16Connecticut Source · since 2015-01-01$8.22——Not classified—
28Nevada Source · since 2017-01-01$5.87——Plans negotiate; applies out of network—
29Virginia Source · since 2014-07-01$4.00——Plans negotiate; applies out of network—
See all 29 states for 89310 — start free

21 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 89310 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 89310?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $8.39. Iowa pays the most ($12.05) and Virginia the least ($4.00).

Which state pays the highest Medicaid rate for 89310?

Iowa, at $12.05, effective 2013-07-01.

Do managed-care plans pay the same rate for 89310?

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.