Skip to content

85421 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $9.55 for 85421 across 48 states, from $5.95 in Connecticut to $14.54 in Arkansas.

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

States publishing
48
National median
$9.55units vary by state
Lowest
$5.95Connecticut
Highest
$14.54Arkansas

What does Medicaid pay for 85421?

48 state Medicaid programs publish a fee-for-service rate for 85421 at the physician psychologist level. The national median is $9.55 (units differ between states). Arkansas pays the most, $14.54, and Connecticut the least, $5.95, a 2.4x spread.

85421 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$14.54——Not classified—
2Iowa Source · since 2013-07-01$14.46——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-07$14.07——Plans negotiate; applies out of network—
24Vermont Source · since 2025-01-01$9.93——Not classified—
25Arizona Source · since 2026-10-01$9.16——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$9.16——Plans negotiate; applies out of network—
47California Source · since 2026-10-01$6.12——Plans negotiate; applies out of network—
48Connecticut Source · since 2015-01-01$5.95——Not classified—
See all 48 states for 85421 — 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 85421 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 85421?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $9.55. Arkansas pays the most ($14.54) and Connecticut the least ($5.95).

Which state pays the highest Medicaid rate for 85421?

Arkansas, at $14.54, effective 2025-03-26.

Do managed-care plans pay the same rate for 85421?

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.