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Billing code 81271 · Lab & pathology

81271 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $120.82 for 81271 across 37 states, from $73.98 in Florida to $137.00 in Arizona.

Data as of Oct 5, 202637 statesEvery rate links to its official source

States publishing
37
National median
$120.82units vary by state
Lowest
$73.98Florida
Highest
$137.00Arizona
Answer

What does Medicaid pay for 81271?

37 state Medicaid programs publish a fee-for-service rate for 81271. The national median is $120.82 (units differ between states). Arizona pays the most, $137.00, and Florida the least, $73.98, a 1.9x spread.

State ranking

81271 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$137.00——Plans negotiate; applies out of network—
2Indiana Source · since 2024-07-01$137.00unit—Plans must pay at least this—
3Minnesota Source · since 2019-01-01$137.00——Plans negotiate; applies out of network—
18Oklahoma Source · since 2024-01-01$121.86——Plans must pay at least this—
19Massachusetts Source · since 2024-09-01$120.82——Plans negotiate; applies out of network—
20Virginia Source · since 2019-01-01$120.56——Plans negotiate; applies out of network—
36New York Source · since 2020-05-29$83.83——Plans negotiate; applies out of network—
37Florida Source · since 2026-01-01$73.98——Plans negotiate; applies out of network—
See all 37 states for 81271 — start free

29 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 81271 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 81271?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $120.82. Arizona pays the most ($137.00) and Florida the least ($73.98).

Which state pays the highest Medicaid rate for 81271?

Arizona, at $137.00, effective 2026-10-01.

Do managed-care plans pay the same rate for 81271?

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.