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87904 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $25.42 for 87904 across 49 states, from $14.08 in Florida to $37.22 in Arkansas.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
49
National median
$25.42units vary by state
Lowest
$14.08Florida
Highest
$37.22Arkansas

What does Medicaid pay for 87904?

49 state Medicaid programs publish a fee-for-service rate for 87904 at the physician psychologist level. The national median is $25.42 (units differ between states). Arkansas pays the most, $37.22, and Florida the least, $14.08, a 2.6x spread.

87904 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$37.22——Not classified—
2Iowa Source · since 2013-07-01$37.02——Plans must pay at least this—
3Wyoming Source · since 2021-01-01$31.96——Not classified—
24Delaware Source · since 2024-01-01$25.55——Plans negotiate; applies out of network—
25Vermont Source · since 2025-01-01$25.42——Not classified—
26Illinois Source · since 2024-04-01$25.37——Plans negotiate; applies out of network—
48New York Source · since 2020-05-29$15.35——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$14.08——Plans negotiate; applies out of network—
See all 49 states for 87904 — start free

41 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.

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 87904 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 87904?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $25.42. Arkansas pays the most ($37.22) and Florida the least ($14.08).

Which state pays the highest Medicaid rate for 87904?

Arkansas, at $37.22, effective 2025-03-26.

Do managed-care plans pay the same rate for 87904?

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.