81334 Medicaid reimbursement rates by state

Clinical lab tests. 27 state Medicaid programs publish a fee-for-service rate for 81334 at the physician psychologist level. Rates run from $80.65 in Connecticut to $355.87 in Texas, with a median of $284.70.

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

States publishing: 27
Median rate: $284.70units vary by state
Highest: $355.87Texas
Medicare (non-facility): —not on the physician fee schedule

81334 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
TexasIndependent (non-agency) provider · Texas Medicaid (fee-for-service, TMHP)	$355.87since 2019-07-04	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Labor
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$329.51since 2019-10-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$329.51since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Clinical Lab fee schedule (2
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$329.51since 2025-03-26	—	—	Not classified	—	Arkansas Medicaid Independent Laboratory
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$329.51since 2024-11-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)	$329.50since 2020-01-01	—	—	Not classified	—	Montana Healthcare Programs fee schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$299.85since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Laboratory' -
ArizonaClinical nurse specialist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$296.56since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS FFS Capped Fee Schedule: Clinical
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$296.56since 2026-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$296.56since 2022-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, May 2023
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)	$296.56since 2023-04-01	—	—	Plans negotiate; applies out of network	—	BMS CY 2023 Clinical Lab Fee Schedule (a
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$293.09since 2024-01-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$290.59since 2024-09-01	—	—	Plans negotiate; applies out of network	—	Rates for Clinical Laboratory Services (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$284.70since 2025-09-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$280.08since 2018-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$274.48since 2026-07-01	—	—	Not classified	—	Clinical Diagnostic Laboratory Test (CDL
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$263.61since 2018-04-01	—	—	Plans negotiate; applies out of network	—	Lab Max Allowable (in Zipped 2018 Fee Sc
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$263.61since 2020-12-01	—	—	Not classified	—	NJMMIS Procedure Master Listing Outpatie
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$263.61since 2026-01-01	—	—	Plans may pay no more	—	HCA Physician-related services fee sched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$263.61since 2018-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$263.61since 2024-10-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$263.60since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$247.13since 2021-01-01	—	—	Plans negotiate; applies out of network	—	ODM laboratory services payment schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$230.66since 2018-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$224.43since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$177.94since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Independent Laboratory Fee Schedule (202
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$80.65since 2018-01-01	—	—	Not classified	—	CMAP fee schedule: Lab October 2026

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 81334?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $284.70. Texas pays the most ($355.87) and Connecticut the least ($80.65).

Which state pays the highest Medicaid rate for 81334?

Texas, at $355.87, effective 2019-07-04.

Do managed-care plans pay the same rate for 81334?

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.

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