81442 Medicaid reimbursement rates by state

Clinical lab tests. 26 state Medicaid programs publish a fee-for-service rate for 81442 at the physician psychologist level. Rates run from $0.00 in Arkansas to $2,143.60 in Montana, with a median of $1,898.55.

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

States publishing: 26
Median rate: $1,898.55units vary by state
Highest: $2,143.60Montana
Medicare (non-facility): —not on the physician fee schedule

81442 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)	$2,143.60since 2022-01-01	—	—	Not classified	—	Montana Healthcare Programs fee schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$2,143.60since 2024-07-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$2,143.60since 2018-01-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$2,143.60since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Clinical Lab fee schedule (2
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$2,143.60since 2024-11-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$2,143.60since 2026-06-01	—	—	Plans negotiate; applies out of network	—	Medicaid Fee-For-Service (FFS) Fee Sched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)	$2,143.60since 2019-12-01	—	—	Not classified	—	South Dakota Medicaid Laboratory fee sch
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)	$2,143.60since 2025-01-01	—	—	Not classified	—	ND Medicaid Professional Services Fee Sc
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)	$2,100.73since 2024-01-01	—	—	Plans negotiate; applies out of network	—	DMAP 2024 Physician Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$1,929.24since 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)	$1,929.24since 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)	$1,929.24since 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)	$1,906.70since 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)	$1,890.39since 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)	$1,852.07since 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)	$1,785.62since 2026-07-01	—	—	Not classified	—	Clinical Diagnostic Laboratory Test (CDL
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$1,714.88since 2023-12-01	—	—	Not classified	—	NJMMIS Procedure Master Listing Outpatie
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$1,714.88since 2024-10-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$1,672.01since 2024-12-01	—	—	Not classified	—	SCDHHS Independent Lab and Radiology Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$1,607.70since 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)	$1,500.52since 2018-01-01	—	—	Not classified	—	CMAP fee schedule: Lab October 2026
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$1,500.52since 2024-11-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$847.52since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Practitioner Laboratory Fee Schedule (20
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$603.44since 2026-02-01	—	—	Not classified	—	Maryland Medicaid Medical Laboratory Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$10.00since 2016-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
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 81442?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $1,898.55. Montana pays the most ($2,143.60) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 81442?

Montana, at $2,143.60, effective 2022-01-01.

Do managed-care plans pay the same rate for 81442?

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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