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88368 Medicaid reimbursement rates by state

Clinical lab tests. 50 state Medicaid programs publish a fee-for-service rate for 88368 at the physician psychologist level. Rates run from $34.90 in District of Columbia to $207.01 in Nebraska, with a median of $88.46.

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

States publishing
50
Median rate
$88.46units vary by state
Highest
$207.01Nebraska
Medicare (non-facility)
$129.09–$200.032026 physician fee schedule

88368 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$207.01since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$179.38——Plans negotiate; applies out of network—eMedNY NYS Medicaid Laboratory Fee Sched
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$161.32since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$156.55since 2026-07-01——Not classified—Alaska Medicaid Independent Laboratory F
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$150.84since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$148.83since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$148.63since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$140.21since 2026-07-01——Not classified—South Dakota Medicaid Laboratory fee sch
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$138.01since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$127.34since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$118.66since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Breast and Cervical Cancer Screening program (state benefit plan, not Medicaid)$115.48since 2026-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$111.09since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$104.38since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$102.36since 2013-01-01——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)$101.77since 2018-10-01——Plans negotiate; applies out of network—Lab Max Allowable (in Zipped 2018 Fee Sc
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$99.20since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$96.89since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$96.35since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$95.91since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$91.73since 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)$90.75since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$89.48since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$89.35since 2023-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$88.46since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$88.45since 2017-01-01——Plans negotiate; applies out of network—Provider Type 43, Laboratory, Pathology
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$87.88since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$86.61since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$86.29since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$86.07since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$85.12since 2023-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$83.90since 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)$82.96since 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)$81.97since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$81.02since 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)$77.32since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$76.44since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$75.55since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$75.41since 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)$75.29since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$75.04since 2024-07-01——Not classified—SCDHHS Independent Lab and Radiology Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$68.65since 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)$67.59since 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)$67.52since 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$66.69since 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)$64.00since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$60.58since 2009-05-27——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$51.20since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$42.52since 2005-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$34.90since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep

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 88368?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $88.46. Nebraska pays the most ($207.01) and District of Columbia the least ($34.90).

Which state pays the highest Medicaid rate for 88368?

Nebraska, at $207.01, effective 2026-07-01.

Do managed-care plans pay the same rate for 88368?

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

Track 88368 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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