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Billing code 86156 · Lab & pathology

86156 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $7.26 for 86156 across 49 states, from $4.08 in Florida to $9.57 in Arkansas.

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

States publishing
49
National median
$7.26units vary by state
Lowest
$4.08Florida
Highest
$9.57Arkansas
Answer

What does Medicaid pay for 86156?

49 state Medicaid programs publish a fee-for-service rate for 86156. The national median is $7.26 (units differ between states). Arkansas pays the most, $9.57, and Florida the least, $4.08, a 2.3x spread.

State ranking

86156 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$9.57——Not classified—
2Iowa Source · since 2013-07-01$9.04——Plans must pay at least this—
3Georgia Source · since 2018-10-01$8.42——Plans negotiate; applies out of network—
24Mississippi Source · since 2022-07-01$7.26——Plans must pay at least this—
25West Virginia Source · since 2023-04-01$7.26——Plans negotiate; applies out of network—
26Oklahoma Source · since 2024-01-01$7.18——Plans must pay at least this—
48Nevada Source · since 2017-01-01$4.57——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$4.08——Plans negotiate; applies out of network—
See all 49 states for 86156 — 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.

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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 86156 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 86156?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $7.26. Arkansas pays the most ($9.57) and Florida the least ($4.08).

Which state pays the highest Medicaid rate for 86156?

Arkansas, at $9.57, effective 2025-03-26.

Do managed-care plans pay the same rate for 86156?

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.