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Billing code 81541 · Lab & pathology

81541 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $3,465.34 for 81541 across 30 states, from $2,091.42 in Florida to $3,873.00 in Montana.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$3,465.34units vary by state
Lowest
$2,091.42Florida
Highest
$3,873.00Montana
Answer

What does Medicaid pay for 81541?

30 state Medicaid programs publish a fee-for-service rate for 81541. The national median is $3,465.34 (units differ between states). Montana pays the most, $3,873.00, and Florida the least, $2,091.42, a 1.9x spread.

State ranking

81541 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2022-01-01$3,873.00——Not classified—
2Rhode Island Source · since 2022-07-01$3,873.00——Plans negotiate; applies out of network—
3Indiana Source · since 2025-05-01$3,873.00unit—Plans must pay at least this—
15West Virginia Source · since 2023-04-01$3,485.70——Plans negotiate; applies out of network—
16Oklahoma Source · since 2024-01-01$3,444.98——Plans must pay at least this—
17Massachusetts Source · since 2024-09-01$3,415.50——Plans negotiate; applies out of network—
29Connecticut Source · since 2018-01-01$2,393.59——Not classified—
30Florida Source · since 2026-01-01$2,091.42——Plans negotiate; applies out of network—
See all 30 states for 81541 — start free

22 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 81541 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 81541?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $3,465.34. Montana pays the most ($3,873.00) and Florida the least ($2,091.42).

Which state pays the highest Medicaid rate for 81541?

Montana, at $3,873.00, effective 2022-01-01.

Do managed-care plans pay the same rate for 81541?

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 workspace shows the rule for each state, cited to the contract or statute.