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81342 Medicaid reimbursement rates by state

Clinical lab tests. 35 state Medicaid programs publish a fee-for-service rate for 81342 at the physician psychologist level. Rates run from $13.50 in Arizona to $241.80 in New Mexico, with a median of $181.35.

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

States publishing
35
Median rate
$181.35units vary by state
Highest
$241.80New Mexico
Medicare (non-facility)
—not on the physician fee schedule

81342 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$241.80since 2024-11-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$233.67since 2014-04-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$217.62since 2021-11-17——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$201.50since 2020-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$201.50since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$201.50since 2024-07-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$201.50since 2020-01-01——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)$201.50since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$201.50since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$201.50since 2026-07-01——Not classified—Alaska Medicaid Independent Laboratory F
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$201.50since 2020-01-01——Not classified—South Dakota Medicaid Laboratory fee sch
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$201.50since 2025-01-01——Not classified—ND Medicaid Professional Services Fee Sc
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$201.49since 2020-01-01——Not classified—Montana Healthcare Programs fee schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$197.76since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$192.43since 2015-01-01——Not classified—CMAP fee schedule: Lab October 2026
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$192.43since 2016-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$181.35since 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)$181.35since 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)$181.35since 2023-04-01——Plans negotiate; applies out of network—BMS CY 2023 Clinical Lab Fee Schedule (a
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$181.35since 2025-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$179.23since 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)$177.70since 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)$174.10since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$167.85since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$166.84since 2023-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$164.00since 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)$161.20since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$161.20since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$151.13since 2021-01-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$137.24since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$123.82since 2014-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$118.50since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$110.20since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$108.81since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$13.50since 2021-10-01A—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 81342?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $181.35. New Mexico pays the most ($241.80) and Arizona the least ($13.50 per A).

Which state pays the highest Medicaid rate for 81342?

New Mexico, at $241.80, effective 2024-11-01.

Do managed-care plans pay the same rate for 81342?

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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Medicaid rates by state
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