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82234 Medicaid reimbursement rates by state

Clinical lab tests. 12 state Medicaid programs publish a fee-for-service rate for 82234 at the physician psychologist level. Rates run from $15.24 in Texas to $128.92 in Arizona, with a median of $104.95.

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

States publishing
12
Median rate
$104.95units vary by state
Highest
$128.92Arizona
Medicare (non-facility)
—not on the physician fee schedule

82234 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)$128.92since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$128.92since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$128.92since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$116.03since 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)$113.69since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-08: 101 CMR 3
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$106.75since 2026-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$103.14since 2026-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$103.14since 2026-04-01——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)$103.14since 2025-01-01——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)$96.69since 2026-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$30.00since 2025-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$15.24since 2019-07-04——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi

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 82234?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $104.95. Arizona pays the most ($128.92) and Texas the least ($15.24).

Which state pays the highest Medicaid rate for 82234?

Arizona, at $128.92, effective 2026-10-01.

Do managed-care plans pay the same rate for 82234?

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

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