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Billing code 81277 · Lab & pathology

81277 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $1,022.98 for 81277 across 29 states, from $626.40 in Florida to $1,160.00 in Arizona.

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

States publishing
29
National median
$1,022.98units vary by state
Lowest
$626.40Florida
Highest
$1,160.00Arizona
Answer

What does Medicaid pay for 81277?

29 state Medicaid programs publish a fee-for-service rate for 81277. The national median is $1,022.98 (units differ between states). Arizona pays the most, $1,160.00, and Florida the least, $626.40, a 1.9x spread.

State ranking

81277 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
1Arizona Source · since 2026-10-01$1,160.00——Plans negotiate; applies out of network—
2Indiana Source · since 2020-01-01$1,160.00unit—Plans must pay at least this—
3Minnesota Source · since 2020-01-01$1,160.00——Plans negotiate; applies out of network—
14Oklahoma Source · since 2024-01-01$1,031.80——Plans must pay at least this—
15Massachusetts Source · since 2024-09-01$1,022.98——Plans negotiate; applies out of network—
16Virginia Source · since 2020-01-01$1,020.80——Plans negotiate; applies out of network—
28Illinois Source · since 2024-04-01$790.08——Plans negotiate; applies out of network—
29Florida Source · since 2026-01-01$626.40——Plans negotiate; applies out of network—
See all 29 states for 81277 — 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 81277 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 81277?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $1,022.98. Arizona pays the most ($1,160.00) and Florida the least ($626.40).

Which state pays the highest Medicaid rate for 81277?

Arizona, at $1,160.00, effective 2026-10-01.

Do managed-care plans pay the same rate for 81277?

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.