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Billing code 87637 · Lab & pathology

87637 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $128.37 for 87637 across 48 states, from $71.32 in Nevada to $154.04 in Texas.

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

States publishing
48
National median
$128.37units vary by state
Lowest
$71.32Nevada
Highest
$154.04Texas
Answer

What does Medicaid pay for 87637?

48 state Medicaid programs publish a fee-for-service rate for 87637. The national median is $128.37 (units differ between states). Texas pays the most, $154.04, and Nevada the least, $71.32, a 2.2x spread.

State ranking

87637 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
1Texas Source · since 2019-07-04$154.04——Plans negotiate; applies out of network—
2Montana Source · since 2022-01-01$142.63——Not classified—
3Iowa Source · since 2024-01-01$142.63——Plans must pay at least this—
24Missouri Source · since 2026-07-01$128.37——Plans negotiate; applies out of network—
25Mississippi Source · since 2022-07-01$128.37——Plans must pay at least this—
26West Virginia Source · since 2023-04-01$128.37——Plans negotiate; applies out of network—
47Florida Source · since 2026-01-01$77.02——Plans negotiate; applies out of network—
48Nevada Source · since 2022-07-18$71.32——Plans negotiate; applies out of network—
See all 48 states for 87637 — 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 87637 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 87637?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $128.37. Texas pays the most ($154.04) and Nevada the least ($71.32).

Which state pays the highest Medicaid rate for 87637?

Texas, at $154.04, effective 2019-07-04.

Do managed-care plans pay the same rate for 87637?

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.