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86152 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $237.61 for 86152 across 24 states, from $195.61 in South Carolina to $250.78 in Montana.

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

States publishing
24
National median
$237.61units vary by state
Lowest
$195.61South Carolina
Highest
$250.78Montana

What does Medicaid pay for 86152?

24 state Medicaid programs publish a fee-for-service rate for 86152 at the physician psychologist level. The national median is $237.61 (units differ between states). Montana pays the most, $250.78, and South Carolina the least, $195.61, a 1.3x spread.

86152 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2020-01-01$250.78——Not classified—
2Wisconsin Source · since 2020-01-01$250.78——Plans negotiate; applies out of network—
3Virginia Source · since 2020-01-01$250.78——Plans negotiate; applies out of network—
12Maryland Source · since 2026-02-01$241.16——Not classified—
13Maine Source · since 2015-01-01$234.06——Not classified—
14Missouri Source · since 2026-07-01$225.70——Plans negotiate; applies out of network—
23District of Columbia Source · since 2020-04-01$200.62——Not classified—
24South Carolina Source · since 2024-07-01$195.61——Not classified—
See all 24 states for 86152 — start free

16 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 86152 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 86152?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $237.61. Montana pays the most ($250.78) and South Carolina the least ($195.61).

Which state pays the highest Medicaid rate for 86152?

Montana, at $250.78, effective 2020-01-01.

Do managed-care plans pay the same rate for 86152?

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.