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81189 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $239.79 for 81189 across 34 states, from $148.41 in Florida to $274.83 in Montana.

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

States publishing
34
National median
$239.79units vary by state
Lowest
$148.41Florida
Highest
$274.83Montana

What does Medicaid pay for 81189?

34 state Medicaid programs publish a fee-for-service rate for 81189 at the physician psychologist level. The national median is $239.79 (units differ between states). Montana pays the most, $274.83, and Florida the least, $148.41, a 1.9x spread.

81189 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2019-01-01$274.83——Not classified—
2Arizona Source · since 2026-10-01$274.83——Plans negotiate; applies out of network—
3Minnesota Source · since 2019-01-01$274.83——Plans negotiate; applies out of network—
17Virginia Source · since 2019-01-01$241.85——Plans negotiate; applies out of network—
18New Hampshire Source · since 2025-01-01$237.73——Plans negotiate; applies out of network—
19Idaho Source · since 2025-09-01$237.46——Not classified—
33New York Source · since 2020-05-29$166.55——Plans negotiate; applies out of network—
34Florida Source · since 2026-01-01$148.41——Plans negotiate; applies out of network—
See all 34 states for 81189 — start free

26 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.

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 81189 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 81189?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $239.79. Montana pays the most ($274.83) and Florida the least ($148.41).

Which state pays the highest Medicaid rate for 81189?

Montana, at $274.83, effective 2019-01-01.

Do managed-care plans pay the same rate for 81189?

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.