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Billing code 87626 · Lab & pathology

87626 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $61.22 for 87626 across 46 states, from $33.70 in Florida to $78.39 in Utah.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$61.22units vary by state
Lowest
$33.70Florida
Highest
$78.39Utah
Answer

What does Medicaid pay for 87626?

46 state Medicaid programs publish a fee-for-service rate for 87626. The national median is $61.22 (units differ between states). Utah pays the most, $78.39, and Florida the least, $33.70, a 2.3x spread.

State ranking

87626 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-07-01$78.39——Plans negotiate; applies out of network—
2Texas Source · since 2019-07-04$75.81——Plans negotiate; applies out of network—
3Montana Source · since 2025-01-01$70.20——Not classified—
23Virginia Source · since 2025-01-01$61.78——Plans negotiate; applies out of network—
24Idaho Source · since 2025-09-01$60.65——Not classified—
25Kansas Source · since 2025-01-01$59.67——Not classified—
45Arkansas Source · since 2025-03-26$35.09——Not classified—
46Florida Source · since 2026-01-01$33.70——Plans negotiate; applies out of network—
See all 46 states for 87626 — start free

38 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 87626 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 87626?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $61.22. Utah pays the most ($78.39) and Florida the least ($33.70).

Which state pays the highest Medicaid rate for 87626?

Utah, at $78.39, effective 2026-07-01.

Do managed-care plans pay the same rate for 87626?

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.