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87999 Medicaid reimbursement rates by state

Clinical lab tests. 7 state Medicaid programs publish a fee-for-service rate for 87999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $1,960.00 in Alabama, with a median of $38.16.

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

States publishing
7
Median rate
$38.16units vary by state
Highest
$1,960.00Alabama
Medicare (non-facility)
—not on the physician fee schedule

87999 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$1,960.00⚠ over 3× mediansince 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$1,666.00⚠ over 3× mediansince 2008-06-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$40.60since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$38.16since 2018-01-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded)$4.80since 2006-10-01——Not classified—ForwardHealth max fee schedule: Adult Cy
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$0.01since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 87999?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $38.16. Alabama pays the most ($1,960.00) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 87999?

Alabama, at $1,960.00, effective 2026-04-10.

Do managed-care plans pay the same rate for 87999?

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 table shows the rule for each state, cited to the contract or statute.

Related Lab & pathology codes

Track 87999 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state