MedicaidRateStart free trial

88160 Medicaid reimbursement rates by state

Clinical lab tests. 45 state Medicaid programs publish a fee-for-service rate for 88160 at the physician psychologist level. Rates run from $8.37 in New Jersey to $89.93 in Hawaii, with a median of $36.64.

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

States publishing
45
Median rate
$36.64units vary by state
Highest
$89.93Hawaii
Medicare (non-facility)
$71.97–$111.182026 physician fee schedule

88160 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$89.93since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$84.27since 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)$82.65since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$80.75since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$53.81since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$53.80since 2024-07-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$51.91since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$49.91since 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)$49.77since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$49.23since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$49.12since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$48.42since 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)$47.96since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$46.75since 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)$45.41since 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)$45.01since 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)$44.44since 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)$41.32since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$39.77since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$39.60since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$37.10since 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)$36.84since 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)$36.64since 2026-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$36.12since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$35.14since 2023-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$32.73since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$31.95since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$28.12since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$27.29since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$25.82since 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)$25.25since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$24.54since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$24.05since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$23.29since 2010-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$22.46since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
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
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$20.53since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$20.31since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$20.04since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
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
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$16.48since 2016-01-02——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$16.10since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
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 (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.37since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 88160?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $36.64. Hawaii pays the most ($89.93) and New Jersey the least ($8.37).

Which state pays the highest Medicaid rate for 88160?

Hawaii, at $89.93, effective 2026-06-01.

Do managed-care plans pay the same rate for 88160?

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

80047Clinical lab tests · 45 states80051Clinical lab tests · 45 states80053Clinical lab tests · 45 states80061Clinical lab tests · 45 states80069Clinical lab tests · 45 states80076Clinical lab tests · 45 states80150Clinical lab tests · 45 states80156Clinical lab tests · 45 states80157Clinical lab tests · 45 states80158Clinical lab tests · 45 states80159Clinical lab tests · 45 states80162Clinical lab tests · 45 states
Track 88160 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin