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Billing code 86668 · Lab & pathology

86668 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $12.42 for 86668 across 50 states, from $3.58 in Virginia to $16.99 in New Mexico.

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

States publishing
50
National median
$12.42units vary by state
Lowest
$3.58Virginia
Highest
$16.99New Mexico
Answer

What does Medicaid pay for 86668?

50 state Medicaid programs publish a fee-for-service rate for 86668. The national median is $12.42 (units differ between states). New Mexico pays the most, $16.99, and Virginia the least, $3.58, a 4.7x spread.

State ranking

86668 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
1New Mexico Source · since 2023-07-01$16.99——Plans must pay at least this—
2Texas Source · since 2019-07-04$15.29——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$14.86——Not classified—
25Massachusetts Source · since 2024-09-01$12.49——Plans negotiate; applies out of network—
26Iowa Source · since 2013-07-01$12.34——Plans must pay at least this—
27New Hampshire Source · since 2025-01-01$12.25——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$6.80——Plans negotiate; applies out of network—
50Virginia Source · since 2014-07-01$3.58——Plans negotiate; applies out of network—
See all 50 states for 86668 — 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 86668 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 86668?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $12.42. New Mexico pays the most ($16.99) and Virginia the least ($3.58).

Which state pays the highest Medicaid rate for 86668?

New Mexico, at $16.99, effective 2023-07-01.

Do managed-care plans pay the same rate for 86668?

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.