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88187 Medicaid reimbursement rates by state

Clinical lab tests. 42 state Medicaid programs publish a fee-for-service rate for 88187 at the physician psychologist level. Rates run from $11.30 in Utah to $84.86 in Arkansas, with a median of $32.80.

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

States publishing
42
Median rate
$32.80units vary by state
Highest
$84.86Arkansas
Medicare (non-facility)
$33.17–$41.682026 physician fee schedule

88187 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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$84.86since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$71.98since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$68.28since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$66.05since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$59.78since 2018-10-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2018 Fee Sc
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$53.98since 2012-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$52.80since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$52.09since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$49.30since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$41.65since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$41.53since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$36.82since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$36.55since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$36.10since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$35.88since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$34.66since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$33.89since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$33.41since 2023-07-01——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)$33.06since 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)$33.03since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$32.96since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$32.64since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$31.62since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$31.13since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Independent L
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$30.38since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$30.08since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$29.27since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$29.16since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$28.33since 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)$28.16since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$28.14since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$27.98since 2026-01-01——Not classified—CMAP fee schedule: Lab October 2026
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$26.46since 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)$26.06since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$25.88since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$24.64since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$22.93since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$22.37since 2026-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$21.99since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$20.83since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$20.20since 2020-05-29——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$11.30since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement

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 88187?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $32.80. Arkansas pays the most ($84.86) and Utah the least ($11.30).

Which state pays the highest Medicaid rate for 88187?

Arkansas, at $84.86, effective 2025-03-26.

Do managed-care plans pay the same rate for 88187?

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

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