MedicaidRateStart free trial

86077 Medicaid reimbursement rates by state

Clinical lab tests. 37 state Medicaid programs publish a fee-for-service rate for 86077 at the physician psychologist level. Rates run from $20.52 in Virginia to $72.30 in Montana, with a median of $40.64.

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

States publishing
37
Median rate
$40.64units vary by state
Highest
$72.30Montana
Medicare (non-facility)
$47.94–$62.462026 physician fee schedule

86077 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$72.30since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$61.76since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$50.81since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$48.58since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$47.86since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$47.60since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$45.90since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$45.00since 2020-10-01——Plans negotiate; applies out of network—Lab Max Allowable_ (in Zipped Fee Schedu
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$44.45since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$43.52since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$42.86since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$42.36since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$42.23since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$42.02since 2023-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$41.83since 2018-02-26——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$41.78since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$41.48since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$41.27since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$40.64since 2024-01-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$40.13since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$39.16since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$38.81since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$38.24since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$36.14since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$35.87since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$34.52since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$33.95since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$32.29since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$30.09since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$29.34since 2026-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$28.72since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$28.60since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$28.05since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$25.81since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$23.31since 2026-07-01——Plans may pay no more—HCA Physician-related services fee sched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$20.69since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.52since 2005-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 86077?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $40.64. Montana pays the most ($72.30) and Virginia the least ($20.52).

Which state pays the highest Medicaid rate for 86077?

Montana, at $72.30, effective 2026-07-01.

Do managed-care plans pay the same rate for 86077?

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 table shows the rule for each state, cited to the contract or statute.

Related Lab & pathology codes

80047Clinical lab tests · 45 states80051Clinical lab tests · 45 states80053Clinical lab tests · 45 states80061Clinical lab tests · 45 states80069Clinical lab tests · 45 states80076Clinical lab tests · 45 states80150Clinical lab tests · 45 states80156Clinical lab tests · 45 states80157Clinical lab tests · 45 states80158Clinical lab tests · 45 states80159Clinical lab tests · 45 states80162Clinical lab tests · 45 states
Track 86077 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin