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80324 Medicaid reimbursement rates by state

Clinical lab tests. 11 state Medicaid programs publish a fee-for-service rate for 80324 at the physician psychologist level. Rates run from $4.19 in Arizona to $23.60 in Arkansas, with a median of $15.16.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
11
Median rate
$15.16units vary by state
Highest
$23.60Arkansas
Medicare (non-facility)
—not on the physician fee schedule

80324 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$23.60since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$19.55since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$17.62since 2023-12-01——Not classified—NJMMIS Procedure Master Listing Outpatie
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$15.80since 2015-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$15.44since 2016-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$15.16since 2019-07-17——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$12.45since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$10.08since 2015-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$8.33since 2015-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$5.05since 2020-05-29——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$4.19since 2017-01-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 80324?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $15.16. Arkansas pays the most ($23.60) and Arizona the least ($4.19).

Which state pays the highest Medicaid rate for 80324?

Arkansas, at $23.60, effective 2025-03-26.

Do managed-care plans pay the same rate for 80324?

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 table shows the rule for each state, cited to the contract or statute.

Related Lab & pathology codes

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