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Billing code 87910 · Lab & pathology

87910 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $231.71 for 87910 across 45 states, from $23.38 in California to $310.53 in Wyoming.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$231.71units vary by state
Lowest
$23.38California
Highest
$310.53Wyoming
Answer

What does Medicaid pay for 87910?

45 state Medicaid programs publish a fee-for-service rate for 87910. The national median is $231.71 (units differ between states). Wyoming pays the most, $310.53, and California the least, $23.38, a 13.3x spread.

State ranking

87910 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wyoming Source · since 2021-01-01$310.53——Not classified—
2Pennsylvania Source · since 2013-06-24$283.10——Plans negotiate; applies out of network—
3Texas Source · since 2021-11-17$278.04——Plans negotiate; applies out of network—
22Missouri Source · since 2026-07-01$231.71——Plans negotiate; applies out of network—
23West Virginia Source · since 2024-04-01$231.71——Plans negotiate; applies out of network—
24Kansas Source · since 2013-01-01$230.02——Plans must pay at least this—
44Maine Source · since 2015-01-01$79.16——Not classified—
45California Source · since 2026-10-01$23.38——Plans negotiate; applies out of network—
See all 45 states for 87910 — start free

37 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 87910 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 87910?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $231.71. Wyoming pays the most ($310.53) and California the least ($23.38).

Which state pays the highest Medicaid rate for 87910?

Wyoming, at $310.53, effective 2021-01-01.

Do managed-care plans pay the same rate for 87910?

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.