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86316 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $19.30 for 86316 across 48 states, from $9.99 in Florida to $29.72 in Arkansas.

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

States publishing
48
National median
$19.30units vary by state
Lowest
$9.99Florida
Highest
$29.72Arkansas

What does Medicaid pay for 86316?

48 state Medicaid programs publish a fee-for-service rate for 86316 at the physician psychologist level. The national median is $19.30 (units differ between states). Arkansas pays the most, $29.72, and Florida the least, $9.99, a 3.0x spread.

86316 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$29.72——Not classified—
2Iowa Source · since 2013-07-01$29.57——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-01$28.76——Plans negotiate; applies out of network—
24Connecticut Source · since 2015-01-01$19.87——Not classified—
25Arizona Source · since 2026-10-01$18.73——Plans negotiate; applies out of network—
26Missouri Source · since 2026-07-01$18.73——Plans negotiate; applies out of network—
47Illinois Source · since 2024-04-01$14.18——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$9.99——Plans negotiate; applies out of network—
See all 48 states for 86316 — 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 86316 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 86316?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $19.30. Arkansas pays the most ($29.72) and Florida the least ($9.99).

Which state pays the highest Medicaid rate for 86316?

Arkansas, at $29.72, effective 2025-03-26.

Do managed-care plans pay the same rate for 86316?

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.