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82800 Medicaid reimbursement rates by state

Clinical lab tests. 28 state Medicaid programs publish a fee-for-service rate for 82800 at the physician psychologist level. Rates run from $1.76 in Virginia to $11.88 in Texas, with a median of $9.14.

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

States publishing
28
Median rate
$9.14units vary by state
Highest
$11.88Texas
Medicare (non-facility)
—not on the physician fee schedule

82800 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
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$11.88since 2019-07-04——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$11.70since 2009-04-04——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$11.51since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded)$11.37since 2018-01-01——Not classified—ForwardHealth max fee schedule: Adult Cy
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$11.00since 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)$11.00since 2018-01-01unit—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)$11.00since 2018-01-01——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)$11.00since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$10.65since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$9.90since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$9.90since 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)$9.70since 2024-09-01——Plans negotiate; applies out of network—Rates for Clinical Laboratory Services (
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$9.35since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$9.16since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$9.11since 2023-01-01——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)$8.80since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$8.80since 2026-01-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$8.80since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$8.75since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$8.58since 2024-07-01——Not classified—SCDHHS Independent Lab and Radiology Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$8.25since 2019-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$8.08since 2015-01-01——Not classified—CMAP fee schedule: Lab October 2026
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$7.92since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$7.70since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$7.49since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$6.67since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$2.84since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1.76since 2014-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv

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 82800?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $9.14. Texas pays the most ($11.88) and Virginia the least ($1.76).

Which state pays the highest Medicaid rate for 82800?

Texas, at $11.88, effective 2019-07-04.

Do managed-care plans pay the same rate for 82800?

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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