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86960 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.70 for 86960 across 11 states, from $9.81 in Connecticut to $153.58 in Missouri.

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

States publishing
11
National median
$16.70units vary by state
Lowest
$9.81Connecticut
Highest
$153.58Missouri

What does Medicaid pay for 86960?

11 state Medicaid programs publish a fee-for-service rate for 86960 at the physician psychologist level. The national median is $16.70 (units differ between states). Missouri pays the most, $153.58, and Connecticut the least, $9.81, a 15.7x spread.

86960 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Missouri Source · since 2026-07-01$153.58——Plans must pay at least this—
2Nebraska Source · since 2026-07-01$56.31——Plans negotiate; applies out of network—
3Indiana Source · since 2010-01-01$30.00percent of billed charges—Plans must pay at least this—
5New Jersey Source · since 2025-01-01$25.00——Not classified—
6Nevada Source · since 2017-01-01$16.70——Plans negotiate; applies out of network—
10West Virginia Source · since 2023-04-01$11.62——Plans negotiate; applies out of network—
11Connecticut Source · since 2015-01-01$9.81——Not classified—
See all 11 states for 86960 — start free

4 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 86960 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 86960?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $16.70. Missouri pays the most ($153.58) and Connecticut the least ($9.81).

Which state pays the highest Medicaid rate for 86960?

Missouri, at $153.58, effective 2026-07-01.

Do managed-care plans pay the same rate for 86960?

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.