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88106 Medicaid reimbursement rates by state

Clinical lab tests. 45 state Medicaid programs publish a fee-for-service rate for 88106 at the physician psychologist level. Rates run from $10.00 in Pennsylvania to $76.81 in Hawaii, with a median of $33.59.

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

States publishing
45
Median rate
$33.59units vary by state
Highest
$76.81Hawaii
Medicare (non-facility)
$59.31–$92.392026 physician fee schedule

88106 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
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$76.81since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$69.96since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$69.75since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$68.34since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$47.45since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$46.84since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$46.61since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$44.56since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$43.11since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$42.12since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$41.91since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$41.54since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$40.64since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$40.47since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$39.30since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$38.99since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$38.49since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$37.31since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$37.03since 2024-07-01——Not classified—SCDHHS Independent Lab and Radiology Fee
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$37.02since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$36.69since 2023-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$34.21since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$33.59since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$33.50since 2026-01-01——Not classified—CMAP fee schedule: Lab October 2026
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$31.96since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$31.74since 2026-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$31.57since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$31.53since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$31.34since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$30.79since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$29.79since 2015-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$27.05since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$26.07since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Outpatient Ho
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$25.82since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$24.52since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$24.32since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$22.81since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$22.19since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$21.87since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$19.31since 2020-05-29——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$17.13since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$17.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$15.44since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$14.22since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$10.00since 2009-03-31——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 88106?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $33.59. Hawaii pays the most ($76.81) and Pennsylvania the least ($10.00).

Which state pays the highest Medicaid rate for 88106?

Hawaii, at $76.81, effective 2026-06-01.

Do managed-care plans pay the same rate for 88106?

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.

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Medicaid rates by state
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