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Billing code 87594 · Lab & pathology

87594 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $30.92 for 87594 across 38 states, from $10.53 in Rhode Island to $37.89 in Texas.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$30.92units vary by state
Lowest
$10.53Rhode Island
Highest
$37.89Texas
Answer

What does Medicaid pay for 87594?

38 state Medicaid programs publish a fee-for-service rate for 87594. The national median is $30.92 (units differ between states). Texas pays the most, $37.89, and Rhode Island the least, $10.53, a 3.6x spread.

State ranking

87594 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$37.89——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$35.09——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$35.09——Plans negotiate; applies out of network—
19Massachusetts Source · since 2025-01-01$30.95——Plans negotiate; applies out of network—
20Virginia Source · since 2025-01-01$30.88——Plans negotiate; applies out of network—
21Idaho Source · since 2025-09-01$30.32——Not classified—
37Nevada Source · since 2025-01-01$17.54——Plans negotiate; applies out of network—
38Rhode Island Source · since 2025-01-01$10.53——Plans negotiate; applies out of network—
See all 38 states for 87594 — start free

30 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 87594 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 87594?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $30.92. Texas pays the most ($37.89) and Rhode Island the least ($10.53).

Which state pays the highest Medicaid rate for 87594?

Texas, at $37.89, effective 2019-07-04.

Do managed-care plans pay the same rate for 87594?

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.