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81529 Medicaid reimbursement rates by state

Clinical lab tests. 20 state Medicaid programs publish a fee-for-service rate for 81529 at the physician psychologist level. Rates run from $2,393.59 in Connecticut to $7,193.00 in Arizona, with a median of $6,435.89.

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

States publishing
20
Median rate
$6,435.89units vary by state
Highest
$7,193.00Arizona
Medicare (non-facility)
—not on the physician fee schedule

81529 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)$7,193.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$7,193.00since 2021-01-01——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)$7,193.00since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$7,193.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$7,193.00since 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$7,193.00since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$7,192.99since 2022-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$7,049.14since 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)$6,473.70since 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)$6,473.70since 2022-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, May 2023
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$6,398.07since 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)$6,343.33since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$6,221.95since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$6,114.05since 2021-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$5,754.40since 2021-12-01——Not classified—NJMMIS Procedure Master Listing Outpatie
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$5,754.40since 2021-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$5,394.75since 2021-04-01——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)$4,899.15since 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)$3,884.22since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$2,393.59since 2021-01-01——Not classified—CMAP fee schedule: Lab October 2026

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 81529?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $6,435.89. Arizona pays the most ($7,193.00) and Connecticut the least ($2,393.59).

Which state pays the highest Medicaid rate for 81529?

Arizona, at $7,193.00, effective 2026-10-01.

Do managed-care plans pay the same rate for 81529?

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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