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Billing code 89331 · Lab & pathology

89331 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $19.41 for 89331 across 18 states, from $6.84 in Kansas to $28.28 in Arkansas.

Data as of Oct 5, 202618 statesEvery rate links to its official source

States publishing
18
National median
$19.41units vary by state
Lowest
$6.84Kansas
Highest
$28.28Arkansas
Answer

What does Medicaid pay for 89331?

18 state Medicaid programs publish a fee-for-service rate for 89331. The national median is $19.41 (units differ between states). Arkansas pays the most, $28.28, and Kansas the least, $6.84, a 4.1x spread.

State ranking

89331 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$28.28——Not classified—
2Georgia Source · since 2018-10-01$19.66——Plans negotiate; applies out of network—
3Wisconsin Source · since 2020-01-01$19.59——Plans negotiate; applies out of network—
9Alaska Source · since 2026-07-01$19.59——Not classified—
10Maryland Source · since 2026-02-01$19.22——Not classified—
11Delaware Source · since 2024-01-01$19.20——Plans negotiate; applies out of network—
17New Jersey Source · since 2025-01-01$15.67——Not classified—
18Kansas Source · since 2008-01-01$6.84——Not classified—
See all 18 states for 89331 — start free

10 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 89331 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 89331?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $19.41. Arkansas pays the most ($28.28) and Kansas the least ($6.84).

Which state pays the highest Medicaid rate for 89331?

Arkansas, at $28.28, effective 2025-03-26.

Do managed-care plans pay the same rate for 89331?

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.