How Much Does Medicaid Pay for Urine culture/colony count?
HCPCS 87086 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $5.30 | 137,474 | $728,569.62 | 54 |
| Alaska | $165.27 | 14,742 | $2,436,368.06 | 15 |
| Arizona | $2.25 | 271,670 | $611,153.94 | 98 |
| Arkansas | $8.34 | 46,522 | $387,892.58 | 69 |
| California | $3.04 | 1,170,873 | $3,563,299.88 | 486 |
| Colorado | $6.38 | 49,374 | $315,160.95 | 35 |
| Connecticut | $2.34 | 97,426 | $228,162.39 | 31 |
| Delaware | $13.88 | 3,471 | $48,193.12 | 8 |
| District of Columbia | $1.20 | 3,489 | $4,171.54 | 7 |
| Florida | $2.23 | 389,930 | $870,979.84 | 200 |
| Georgia | $4.96 | 88,229 | $437,376.76 | 18 |
| Hawaii | $5.58 | 29,160 | $162,639.27 | 19 |
| Idaho | $3.69 | 4,099 | $15,107.12 | 13 |
| Illinois | $5.45 | 266,033 | $1,448,989.29 | 111 |
| Indiana | $5.12 | 41,297 | $211,238.54 | 76 |
| Iowa | $4.72 | 16,518 | $77,946.08 | 28 |
| Kansas | $5.31 | 66,104 | $350,785.49 | 21 |
| Kentucky | $7.91 | 142,949 | $1,130,631.03 | 94 |
| Louisiana | $5.18 | 86,009 | $445,468.73 | 78 |
| Maine | $1.64 | 33,017 | $54,099.55 | 29 |
| Maryland | $5.73 | 52,970 | $303,274.66 | 41 |
| Massachusetts | $4.88 | 284,981 | $1,390,011.00 | 79 |
| Michigan | $2.99 | 208,242 | $622,521.17 | 135 |
| Minnesota | $7.31 | 17,275 | $126,194.55 | 44 |
| Mississippi | $4.58 | 52,554 | $240,581.97 | 72 |
| Missouri | $6.09 | 12,558 | $76,460.34 | 37 |
| Montana | $1.03 | 17,867 | $18,344.01 | 27 |
| Nebraska | $5.93 | 730 | $4,328.48 | 10 |
| Nevada | $3.14 | 80,556 | $252,794.43 | 52 |
| New Hampshire | $2.21 | 2,556 | $5,641.93 | 12 |
| New Jersey | $3.41 | 609,494 | $2,076,011.81 | 90 |
| New Mexico | $9.88 | 70,451 | $696,133.88 | 38 |
| New York | $4.40 | 337,549 | $1,484,111.38 | 185 |
| North Carolina | $4.87 | 460,032 | $2,241,101.52 | 99 |
| North Dakota | $6.99 | 1,244 | $8,693.19 | 7 |
| Ohio | $5.06 | 563,836 | $2,853,190.09 | 167 |
| Oklahoma | $7.27 | 34,953 | $254,175.69 | 33 |
| Oregon | $5.79 | 58,355 | $337,593.09 | 43 |
| Pennsylvania | $5.90 | 117,530 | $693,052.22 | 115 |
| Puerto Rico | $7.57 | 46,120 | $349,100.14 | 232 |
| Rhode Island | $20.14 | 23,486 | $473,032.52 | 32 |
| South Carolina | $16.56 | 93,777 | $1,553,290.25 | 70 |
| South Dakota | $6.89 | 7,175 | $49,428.42 | 8 |
| Tennessee | $3.71 | 113,638 | $421,894.75 | 58 |
| Texas | $5.76 | 418,449 | $2,408,896.22 | 211 |
| U.S. Virgin Islands | $54.98 | 606 | $33,315.07 | 2 |
| Utah | $7.22 | 6,399 | $46,209.05 | 14 |
| Vermont | $11.36 | 549 | $6,239.22 | 3 |
| Virginia | $2.00 | 179,270 | $358,478.66 | 101 |
| Washington | $5.19 | 196,474 | $1,018,997.16 | 88 |
| West Virginia | $5.64 | 55,074 | $310,681.90 | 43 |
| Wisconsin | $8.13 | 138,244 | $1,124,163.12 | 134 |
| Wyoming | $1.71 | 38 | $64.96 | 3 |