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88325 Medicaid reimbursement rates by state

Clinical lab tests. 48 state Medicaid programs publish a fee-for-service rate for 88325 at the physician psychologist level. Rates run from $30.65 in New Hampshire to $280.99 in Alaska, with a median of $120.79.

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

States publishing
48
Median rate
$120.79units vary by state
Highest
$280.99Alaska
Medicare (non-facility)
$143.52–$201.782026 physician fee schedule

88325 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
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$280.99since 2026-07-01——Not classified—Alaska Medicaid Independent Laboratory F
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$215.50since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$199.53since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$169.72since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$168.15since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$155.54since 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)$152.37since 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)$151.46since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$145.59since 2026-07-01——Not classified—South Dakota Medicaid Laboratory fee sch
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$145.31since 2009-12-18——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$138.22since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$137.09since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$135.85since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$135.53since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Independent L
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$135.08since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$131.71since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$130.01since 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)$128.28since 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)$126.86since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$125.87since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$124.05since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$123.58since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$123.51since 2016-01-02——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$123.31since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$118.26since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$114.01since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$109.93since 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)$109.35since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$109.02since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$106.38since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$101.51since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$99.97since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$99.89since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$99.55since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$97.77since 2026-01-01——Plans negotiate; applies out of network—MDHHS Clinical Laboratory Fee Schedule,
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$97.63since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$97.51since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$96.09since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$95.99since 2026-01-01——Not classified—CMAP fee schedule: Lab October 2026
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$91.92since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$87.31since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$86.58since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$59.93since 2018-07-01——Plans negotiate; applies out of network—Lab Max Allowable July 2018 V3 (in Zippe
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$58.00since 1993-04-01——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)$58.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$49.00since 2009-03-31——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$45.03since 2011-09-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$30.65since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R

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 88325?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $120.79. Alaska pays the most ($280.99) and New Hampshire the least ($30.65).

Which state pays the highest Medicaid rate for 88325?

Alaska, at $280.99, effective 2026-07-01.

Do managed-care plans pay the same rate for 88325?

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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