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86590 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $11.39 for 86590 across 48 states, from $4.85 in Virginia to $14.08 in Arkansas.

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

States publishing
48
National median
$11.39units vary by state
Lowest
$4.85Virginia
Highest
$14.08Arkansas

What does Medicaid pay for 86590?

48 state Medicaid programs publish a fee-for-service rate for 86590 at the physician psychologist level. The national median is $11.39 (units differ between states). Arkansas pays the most, $14.08, and Virginia the least, $4.85, a 2.9x spread.

86590 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$14.08——Not classified—
2Georgia Source · since 2018-10-01$13.87——Plans negotiate; applies out of network—
3North Carolina Source · since 2025-10-01$13.60——Plans must pay at least this—
24Mississippi Source · since 2022-07-01$11.39——Plans must pay at least this—
25West Virginia Source · since 2023-04-01$11.39——Plans negotiate; applies out of network—
26Maine Source · since 2015-01-01$11.28——Not classified—
47Florida Source · since 2026-01-01$6.08——Plans negotiate; applies out of network—
48Virginia Source · since 2014-07-01$4.85——Plans negotiate; applies out of network—
See all 48 states for 86590 — 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 86590 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 86590?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $11.39. Arkansas pays the most ($14.08) and Virginia the least ($4.85).

Which state pays the highest Medicaid rate for 86590?

Arkansas, at $14.08, effective 2025-03-26.

Do managed-care plans pay the same rate for 86590?

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.