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Billing code 86340 · Lab & pathology

86340 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $14.11 for 86340 across 50 states, from $4.85 in Virginia to $21.52 in Arkansas.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$14.11units vary by state
Lowest
$4.85Virginia
Highest
$21.52Arkansas
Answer

What does Medicaid pay for 86340?

50 state Medicaid programs publish a fee-for-service rate for 86340. The national median is $14.11 (units differ between states). Arkansas pays the most, $21.52, and Virginia the least, $4.85, a 4.4x spread.

State ranking

86340 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$21.52——Not classified—
2Iowa Source · since 2013-07-01$21.40——Plans must pay at least this—
3Pennsylvania Source · since 2009-04-01$20.83——Plans negotiate; applies out of network—
25Connecticut Source · since 2015-01-01$14.39——Not classified—
26Wisconsin Source · since 2015-01-01$13.82——Plans negotiate; applies out of network—
27Arizona Source · since 2026-10-01$13.57——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$7.24——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$4.85——Plans negotiate; applies out of network—
See all 50 states for 86340 — start free

42 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 86340 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 86340?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $14.11. Arkansas pays the most ($21.52) and Virginia the least ($4.85).

Which state pays the highest Medicaid rate for 86340?

Arkansas, at $21.52, effective 2025-03-26.

Do managed-care plans pay the same rate for 86340?

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.