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81412 Medicaid reimbursement rates by state

Clinical lab tests. 20 state Medicaid programs publish a fee-for-service rate for 81412 at the physician psychologist level. Rates run from $0.00 in Arkansas to $2,824.78 in Kansas, with a median of $2,002.13.

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

States publishing
20
Median rate
$2,002.13units vary by state
Highest
$2,824.78Kansas
Medicare (non-facility)
—not on the physician fee schedule

81412 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
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$2,824.78since 2016-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$2,448.56since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,448.56since 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)$2,448.56since 2018-01-01——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)$2,448.56since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2,228.19since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Laboratory' -
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$2,203.70since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$2,177.96since 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)$2,159.32since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$2,039.65since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,964.61since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,958.85since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,958.85since 2026-01-01——Plans may pay no more—HCA Physician-related services fee sched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$1,958.85since 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)$1,836.42since 2019-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,713.99since 2018-01-01——Not classified—CMAP fee schedule: Lab October 2026
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,667.71since 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)$529.85since 2017-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$86.40since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory

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 81412?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $2,002.13. Kansas pays the most ($2,824.78) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 81412?

Kansas, at $2,824.78, effective 2016-01-01.

Do managed-care plans pay the same rate for 81412?

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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