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81460 Medicaid reimbursement rates by state

Clinical lab tests. 21 state Medicaid programs publish a fee-for-service rate for 81460 at the physician psychologist level. Rates run from $0.00 in Arkansas to $2,125.85 in Kansas, with a median of $1,111.97.

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

States publishing
21
Median rate
$1,111.97units vary by state
Highest
$2,125.85Kansas
Medicare (non-facility)
—not on the physician fee schedule

81460 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)$2,125.85since 2015-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,287.00since 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)$1,287.00since 2018-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,287.00since 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)$1,287.00since 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)$1,287.00since 2024-11-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$1,287.00since 2019-12-01——Not classified—South Dakota Medicaid Laboratory fee sch
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,158.30since 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)$1,158.30since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,134.97since 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)$1,111.97since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,093.95since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,029.60since 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$1,029.60since 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)$1,029.60since 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)$965.25since 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)$900.90since 2018-01-01——Not classified—CMAP fee schedule: Lab October 2026
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$900.90since 2026-02-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$876.58since 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)$694.98since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
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 81460?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $1,111.97. Kansas pays the most ($2,125.85) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 81460?

Kansas, at $2,125.85, effective 2015-01-01.

Do managed-care plans pay the same rate for 81460?

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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