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Billing code 84270 · Lab & pathology

84270 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $20.16 for 84270 across 48 states, from $9.92 in Florida to $31.03 in Arkansas.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$20.16units vary by state
Lowest
$9.92Florida
Highest
$31.03Arkansas
Answer

What does Medicaid pay for 84270?

48 state Medicaid programs publish a fee-for-service rate for 84270. The national median is $20.16 (units differ between states). Arkansas pays the most, $31.03, and Florida the least, $9.92, a 3.1x spread.

State ranking

84270 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$31.03——Not classified—
2Iowa Source · since 2013-07-01$30.87——Plans must pay at least this—
3Georgia Source · since 2017-01-01$27.32——Plans negotiate; applies out of network—
24Connecticut Source · since 2015-01-01$20.76——Not classified—
25Arizona Source · since 2026-10-01$19.56——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$19.56——Plans negotiate; applies out of network—
47Nevada Source · since 2017-01-01$14.83——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$9.92——Plans negotiate; applies out of network—
See all 48 states for 84270 — start free

40 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 84270 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 84270?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $20.16. Arkansas pays the most ($31.03) and Florida the least ($9.92).

Which state pays the highest Medicaid rate for 84270?

Arkansas, at $31.03, effective 2025-03-26.

Do managed-care plans pay the same rate for 84270?

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.