Skip to content
Billing code 84430 · Lab & pathology

84430 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $10.47 for 84430 across 49 states, from $4.80 in Pennsylvania to $16.62 in Arkansas.

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

States publishing
49
National median
$10.47units vary by state
Lowest
$4.80Pennsylvania
Highest
$16.62Arkansas
Answer

What does Medicaid pay for 84430?

49 state Medicaid programs publish a fee-for-service rate for 84430. The national median is $10.47 (units differ between states). Arkansas pays the most, $16.62, and Pennsylvania the least, $4.80, a 3.5x spread.

State ranking

84430 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
1Arkansas Source · since 2025-03-26$16.62——Not classified—
2Iowa Source · since 2013-07-01$16.53——Plans must pay at least this—
3Texas Source · since 2021-11-17$12.56——Plans negotiate; applies out of network—
24Mississippi Source · since 2022-07-01$10.47——Plans must pay at least this—
25West Virginia Source · since 2023-04-01$10.47——Plans negotiate; applies out of network—
26California Source · since 2026-10-01$10.34——Plans negotiate; applies out of network—
48Rhode Island Source · since 2005-01-01$5.77——Plans negotiate; applies out of network—
49Pennsylvania Source · since 2009-04-08$4.80——Plans negotiate; applies out of network—
See all 49 states for 84430 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 84430 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 84430?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $10.47. Arkansas pays the most ($16.62) and Pennsylvania the least ($4.80).

Which state pays the highest Medicaid rate for 84430?

Arkansas, at $16.62, effective 2025-03-26.

Do managed-care plans pay the same rate for 84430?

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.