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Billing code 88267 · Lab & pathology

88267 Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $171.68 for 88267 across 49 states, from $75.24 in Virginia to $256.72 in Arkansas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$171.68units vary by state
Lowest
$75.24Virginia
Highest
$256.72Arkansas
Answer

What does Medicaid pay for 88267?

49 state Medicaid programs publish a fee-for-service rate for 88267. The national median is $171.68 (units differ between states). Arkansas pays the most, $256.72, and Virginia the least, $75.24, a 3.4x spread.

State ranking

88267 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-03-26$256.72——Not classified—
2Iowa Source · since 2013-07-01$255.42——Plans must pay at least this—
3Pennsylvania Source · since 2009-03-31$248.44——Plans negotiate; applies out of network—
24Maryland Source · since 2026-02-01$176.45——Not classified—
25Connecticut Source · since 2015-01-01$171.68——Not classified—
26Arizona Source · since 2026-10-01$169.71——Plans negotiate; applies out of network—
48New York Source · since 2020-05-29$90.90——Plans negotiate; applies out of network—
49Virginia Source · since 2014-07-01$75.24——Plans negotiate; applies out of network—
See all 49 states for 88267 — start free

41 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 88267 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 88267?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $171.68. Arkansas pays the most ($256.72) and Virginia the least ($75.24).

Which state pays the highest Medicaid rate for 88267?

Arkansas, at $256.72, effective 2025-03-26.

Do managed-care plans pay the same rate for 88267?

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.