Skip to content
Billing code 87634 · Lab & pathology

87634 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $63.18 for 87634 across 48 states, from $21.64 in New York to $86.66 in Arkansas.

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

States publishing
48
National median
$63.18units vary by state
Lowest
$21.64New York
Highest
$86.66Arkansas
Answer

What does Medicaid pay for 87634?

48 state Medicaid programs publish a fee-for-service rate for 87634. The national median is $63.18 (units differ between states). Arkansas pays the most, $86.66, and New York the least, $21.64, a 4.0x spread.

State ranking

87634 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
1Arkansas Source · since 2025-03-26$86.66——Not classified—
2Iowa Source · since 2024-01-01$83.15——Plans must pay at least this—
3Texas Source · since 2021-11-17$75.81——Plans negotiate; applies out of network—
24Arizona Source · since 2026-10-01$63.18——Plans negotiate; applies out of network—
25Missouri Source · since 2026-07-01$63.18——Plans negotiate; applies out of network—
26Mississippi Source · since 2022-07-01$63.18——Plans must pay at least this—
47North Carolina Source · since 2025-10-01$30.24——Plans must pay at least this—
48New York Source · since 2020-05-29$21.64——Plans negotiate; applies out of network—
See all 48 states for 87634 — 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 87634 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 87634?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $63.18. Arkansas pays the most ($86.66) and New York the least ($21.64).

Which state pays the highest Medicaid rate for 87634?

Arkansas, at $86.66, effective 2025-03-26.

Do managed-care plans pay the same rate for 87634?

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.