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81522 Medicaid reimbursement rates by state

Clinical lab tests. 18 state Medicaid programs publish a fee-for-service rate for 81522 at the physician psychologist level. Rates run from $2,091.42 in Florida to $3,873.00 in Arizona, with a median of $3,216.53.

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

States publishing
18
Median rate
$3,216.53units vary by state
Highest
$3,873.00Arizona
Medicare (non-facility)
—not on the physician fee schedule

81522 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3,873.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$3,873.00since 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)$3,873.00since 2020-01-01unit—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)$3,873.00since 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)$3,873.00since 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)$3,524.43since 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)$3,485.70since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$3,415.50since 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)$3,226.21since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$3,206.84since 2023-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$3,098.40since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$3,098.40since 2020-12-01——Not classified—NJMMIS Procedure Master Listing Outpatie
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$3,098.40since 2026-01-01——Plans may pay no more—HCA Physician-related services fee sched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3,098.40since 2022-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3,079.03since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2,904.75since 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)$2,637.90since 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)$2,091.42since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202

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 81522?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $3,216.53. Arizona pays the most ($3,873.00) and Florida the least ($2,091.42).

Which state pays the highest Medicaid rate for 81522?

Arizona, at $3,873.00, effective 2026-10-01.

Do managed-care plans pay the same rate for 81522?

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.

Related Lab & pathology codes

Track 81522 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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