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Billing code 82331 · Lab & pathology

82331 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $11.11 for 82331 across 47 states, from $3.53 in Nevada to $14.40 in Texas.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$11.11units vary by state
Lowest
$3.53Nevada
Highest
$14.40Texas
Answer

What does Medicaid pay for 82331?

47 state Medicaid programs publish a fee-for-service rate for 82331. The national median is $11.11 (units differ between states). Texas pays the most, $14.40, and Nevada the least, $3.53, a 4.1x spread.

State ranking

82331 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$14.40——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$13.34——Plans negotiate; applies out of network—
3Indiana Source · since 2024-01-01$13.34unit—Plans must pay at least this—
23Louisiana Source · since 2025-07-01$11.34——Plans must pay at least this—
24Colorado Source · since 2026-07-01$11.11——Not classified—
25New Jersey Source · since 2025-01-01$10.67——Not classified—
46Virginia Source · since 2014-07-01$3.76——Plans negotiate; applies out of network—
47Nevada Source · since 2017-01-01$3.53——Plans negotiate; applies out of network—
See all 47 states for 82331 — start free

39 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 82331 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 82331?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $11.11. Texas pays the most ($14.40) and Nevada the least ($3.53).

Which state pays the highest Medicaid rate for 82331?

Texas, at $14.40, effective 2019-07-04.

Do managed-care plans pay the same rate for 82331?

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.