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85170 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $13.31 for 85170 across 48 states, from $0.88 in Virginia to $17.60 in Texas.

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

States publishing
48
National median
$13.31units vary by state
Lowest
$0.88Virginia
Highest
$17.60Texas

What does Medicaid pay for 85170?

48 state Medicaid programs publish a fee-for-service rate for 85170 at the physician psychologist level. The national median is $13.31 (units differ between states). Texas pays the most, $17.60, and Virginia the least, $0.88, a 20.0x spread.

85170 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
1Texas Source · since 2019-07-04$17.60——Plans negotiate; applies out of network—
2Montana Source · since 2018-07-01$16.30——Not classified—
3Nebraska Source · since 2026-07-01$16.30——Plans negotiate; applies out of network—
24Colorado Source · since 2026-07-01$13.58——Not classified—
25New Jersey Source · since 2025-01-01$13.04——Not classified—
26Washington Source · since 2026-01-01$13.04——Plans may pay no more—
47Wyoming Source · since 2021-01-01$1.43——Not classified—
48Virginia Source · since 2014-07-01$0.88——Plans negotiate; applies out of network—
See all 48 states for 85170 — 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.

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 85170 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 85170?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $13.31. Texas pays the most ($17.60) and Virginia the least ($0.88).

Which state pays the highest Medicaid rate for 85170?

Texas, at $17.60, effective 2019-07-04.

Do managed-care plans pay the same rate for 85170?

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.