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Billing code 87320 · Lab & pathology

87320 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $13.42 for 87320 across 48 states, from $7.20 in Florida to $27.00 in New Jersey.

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

States publishing
48
National median
$13.42units vary by state
Lowest
$7.20Florida
Highest
$27.00New Jersey
Answer

What does Medicaid pay for 87320?

48 state Medicaid programs publish a fee-for-service rate for 87320. The national median is $13.42 (units differ between states). New Jersey pays the most, $27.00, and Florida the least, $7.20, a 3.8x spread.

State ranking

87320 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 Jersey Source · since 2025-01-01$27.00——Not classified—
2Iowa Source · since 2013-07-01$17.04——Plans must pay at least this—
3Utah Source · since 2026-09-01$16.76——Plans negotiate; applies out of network—
24West Virginia Source · since 2023-04-01$13.50——Plans negotiate; applies out of network—
25Oklahoma Source · since 2024-01-01$13.34——Plans must pay at least this—
26Massachusetts Source · since 2024-09-01$13.23——Plans negotiate; applies out of network—
47New York Source · since 2020-05-29$8.11——Plans negotiate; applies out of network—
48Florida Source · since 2026-01-01$7.20——Plans negotiate; applies out of network—
See all 48 states for 87320 — 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.

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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 87320 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 87320?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $13.42. New Jersey pays the most ($27.00) and Florida the least ($7.20).

Which state pays the highest Medicaid rate for 87320?

New Jersey, at $27.00, effective 2025-01-01.

Do managed-care plans pay the same rate for 87320?

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.