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88307 Medicaid reimbursement rates by state

Clinical lab tests. 35 state Medicaid programs publish a fee-for-service rate for 88307 at the physician psychologist level. Rates run from $34.00 in Pennsylvania to $286.81 in Arizona, with a median of $146.13.

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

States publishing
35
Median rate
$146.13units vary by state
Highest
$286.81Arizona
Medicare (non-facility)
$245.21–$381.422026 physician fee schedule

88307 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$286.81since 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)$282.74since 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)$229.68since 2023-07-01——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)$185.23since 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)$179.59since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$177.56since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$176.15since 2022-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$174.48since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$172.63since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$168.26since 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)$167.13since 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)$164.13since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$162.63since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$157.80since 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)$155.93since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$155.59since 2023-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$146.99since 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)$146.13since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$128.44since 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$126.89since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$124.62since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$113.40since 2008-07-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$107.72since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$99.35since 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)$91.80since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$88.37since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$88.37since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$87.64since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$84.53since 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)$76.07since 2017-01-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2017 Fee Sc
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$66.52since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$65.74since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$62.71since 2018-01-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$61.44since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$34.00since 2015-10-01——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 88307?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $146.13. Arizona pays the most ($286.81) and Pennsylvania the least ($34.00).

Which state pays the highest Medicaid rate for 88307?

Arizona, at $286.81, effective 2026-10-01.

Do managed-care plans pay the same rate for 88307?

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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