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86327 Medicaid reimbursement rates by state

Clinical lab tests. 8 state Medicaid programs publish a fee-for-service rate for 86327 at the physician psychologist level. Rates run from $12.80 in Rhode Island to $32.40 in Arkansas, with a median of $19.42.

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

States publishing
8
Median rate
$19.42units vary by state
Highest
$32.40Arkansas
Medicare (non-facility)
—not on the physician fee schedule

86327 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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$32.40since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$22.17since 2024-10-01A—Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$21.05since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$20.96since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$17.87since 2024-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$16.85since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$16.11since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$12.80since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service

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 86327?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $19.42. Arkansas pays the most ($32.40) and Rhode Island the least ($12.80).

Which state pays the highest Medicaid rate for 86327?

Arkansas, at $32.40, effective 2025-06-13.

Do managed-care plans pay the same rate for 86327?

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

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Medicaid rates by state