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Billing code 84375 · Lab & pathology

84375 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $32.49 for 84375 across 49 states, from $5.38 in Rhode Island to $42.12 in Texas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$32.49units vary by state
Lowest
$5.38Rhode Island
Highest
$42.12Texas
Answer

What does Medicaid pay for 84375?

49 state Medicaid programs publish a fee-for-service rate for 84375. The national median is $32.49 (units differ between states). Texas pays the most, $42.12, and Rhode Island the least, $5.38, a 7.8x spread.

State ranking

84375 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$42.12——Plans negotiate; applies out of network—
2Montana Source · since 2018-07-01$39.00——Not classified—
3Nebraska Source · since 2026-07-01$39.00——Plans negotiate; applies out of network—
24Kansas Source · since 2023-07-01$33.15——Plans must pay at least this—
25Colorado Source · since 2026-07-01$32.49——Not classified—
26New Jersey Source · since 2025-01-01$31.20——Not classified—
48Virginia Source · since 2014-07-01$6.15——Plans negotiate; applies out of network—
49Rhode Island Source · since 2005-01-01$5.38——Plans negotiate; applies out of network—
See all 49 states for 84375 — start free

41 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 84375 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 84375?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $32.49. Texas pays the most ($42.12) and Rhode Island the least ($5.38).

Which state pays the highest Medicaid rate for 84375?

Texas, at $42.12, effective 2019-07-04.

Do managed-care plans pay the same rate for 84375?

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.