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81500 Medicaid reimbursement rates by state

Clinical lab tests. 14 state Medicaid programs publish a fee-for-service rate for 81500 at the physician psychologist level. Rates run from $0.00 in Arkansas to $260.50 in California, with a median of $219.07.

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

States publishing
14
Median rate
$219.07units vary by state
Highest
$260.50California
Medicare (non-facility)
—not on the physician fee schedule

81500 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$260.50since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$260.50since 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)$260.50since 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)$260.50since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$234.45since 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)$234.45since 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)$229.73since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$208.40since 2018-07-01——Plans negotiate; applies out of network—Lab Max Allowable July 2018 V3 (in Zippe
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$208.40since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$203.19since 2024-07-01——Not classified—SCDHHS Independent Lab and Radiology Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$182.35since 2023-01-01——Not classified—CMAP fee schedule: Lab October 2026
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$140.67since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$14.20since 2016-01-01——Not classified—KMAP Fee Schedule QMB 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 81500?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $219.07. California pays the most ($260.50) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 81500?

California, at $260.50, effective 2026-10-01.

Do managed-care plans pay the same rate for 81500?

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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