Skip to content
Billing code 85670 · Lab & pathology

85670 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $5.25 for 85670 across 49 states, from $2.43 in Virginia to $8.25 in Arkansas.

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

States publishing
49
National median
$5.25units vary by state
Lowest
$2.43Virginia
Highest
$8.25Arkansas
Answer

What does Medicaid pay for 85670?

49 state Medicaid programs publish a fee-for-service rate for 85670. The national median is $5.25 (units differ between states). Arkansas pays the most, $8.25, and Virginia the least, $2.43, a 3.4x spread.

State ranking

85670 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$8.25——Not classified—
2Iowa Source · since 2013-07-01$8.20——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-09$7.99——Plans negotiate; applies out of network—
24New York Source · since 2020-05-29$5.35——Plans negotiate; applies out of network—
25Kansas Source · since 1987-07-01$5.25——Plans must pay at least this—
26Arizona Source · since 2026-10-01$5.19——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$2.77——Plans negotiate; applies out of network—
49Virginia Source · since 2014-07-01$2.43——Plans negotiate; applies out of network—
See all 49 states for 85670 — 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 85670 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 85670?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $5.25. Arkansas pays the most ($8.25) and Virginia the least ($2.43).

Which state pays the highest Medicaid rate for 85670?

Arkansas, at $8.25, effective 2025-03-26.

Do managed-care plans pay the same rate for 85670?

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.