Skip to content
Billing code 87118 · Lab & pathology

87118 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $13.15 for 87118 across 48 states, from $6.61 in Virginia to $17.53 in New Mexico.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$13.15units vary by state
Lowest
$6.61Virginia
Highest
$17.53New Mexico
Answer

What does Medicaid pay for 87118?

48 state Medicaid programs publish a fee-for-service rate for 87118. The national median is $13.15 (units differ between states). New Mexico pays the most, $17.53, and Virginia the least, $6.61, a 2.7x spread.

State ranking

87118 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
1New Mexico Source · since 2023-07-01$17.53——Plans must pay at least this—
2Texas Source · since 2019-07-04$15.77——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-03-26$15.63——Not classified—
24Mississippi Source · since 2022-07-01$13.15——Plans must pay at least this—
25West Virginia Source · since 2023-04-01$13.15——Plans negotiate; applies out of network—
26Oklahoma Source · since 2024-01-01$13.00——Plans must pay at least this—
47Florida Source · since 2026-01-01$7.02——Plans negotiate; applies out of network—
48Virginia Source · since 2014-07-01$6.61——Plans negotiate; applies out of network—
See all 48 states for 87118 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 87118 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 87118?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $13.15. New Mexico pays the most ($17.53) and Virginia the least ($6.61).

Which state pays the highest Medicaid rate for 87118?

New Mexico, at $17.53, effective 2023-07-01.

Do managed-care plans pay the same rate for 87118?

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.