Code Reality Check
80061 reimbursement rate: Lipid panel
Lipid panel (CPT 80061) pays a median $18.17 in Wyoming and $5.62 in Colorado, against a Medicare anchor of $13.99. 51 of 51 states clear the publication floor.
spread 3.2x top to bottom
Medicare anchor $13.99
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| Wyoming | $18.17 | 1.30x | $6–$21 · P90 $22 | 738 | Benchmark |
| North Carolina | $17.68 | 1.26x | $9–$58 · P90 $58 | 142,135 | Benchmark |
| Wisconsin | $16.73 | 1.20x | $10–$61 · P90 $99 | 24,402 | Benchmark |
| New Jersey | $13.59 | 0.97x | $9–$25 · P90 $50 | 15,217 | Benchmark |
| South Carolina | $13.39 | 0.96x | $8–$18 · P90 $58 | 7,639 | Benchmark |
| Missouri | $13.05 | 0.93x | $9–$25 · P90 $126 | 48,201 | Benchmark |
| Delaware | $12.63 | 0.90x | $9–$20 · P90 $42 | 562 | Benchmark |
| Pennsylvania | $12.44 | 0.89x | $9–$20 · P90 $42 | 9,546 | Benchmark |
| South Dakota | $10.58 | 0.76x | $8–$21 · P90 $54 | 205 | Benchmark |
| Connecticut | $10.04 | 0.72x | $9–$28 · P90 $51 | 3,560 | Benchmark |
| Georgia | $10.01 | 0.72x | $9–$27 · P90 $29 | 54,113 | Benchmark |
| Louisiana | $9.92 | 0.71x | $8–$23 · P90 $57 | 1,037 | Benchmark |
| Massachusetts | $9.92 | 0.71x | $8–$21 · P90 $50 | 5,310 | Benchmark |
| Minnesota | $9.92 | 0.71x | $10–$24 · P90 $54 | 5,246 | Benchmark |
| Alaska | $9.92 | 0.71x | $8–$16 · P90 $58 | 324 | Benchmark |
| Mississippi | $9.92 | 0.71x | $8–$19 · P90 $58 | 569 | Benchmark |
| Alabama | $9.92 | 0.71x | $9–$21 · P90 $37 | 1,874 | Benchmark |
| Arkansas | $9.92 | 0.71x | $9–$23 · P90 $42 | 956 | Benchmark |
| Arizona | $9.92 | 0.71x | $8–$20 · P90 $58 | 2,819 | Benchmark |
| California | $9.92 | 0.71x | $10–$22 · P90 $62 | 101,261 | Benchmark |
| District of Columbia | $9.92 | 0.71x | $8–$18 · P90 $42 | 942 | Benchmark |
| Florida | $9.92 | 0.71x | $8–$20 · P90 $51 | 12,413 | Benchmark |
| Hawaii | $9.92 | 0.71x | $8–$18 · P90 $37 | 747 | Benchmark |
| Iowa | $9.92 | 0.71x | $9–$19 · P90 $42 | 1,098 | Benchmark |
| Idaho | $9.92 | 0.71x | $8–$18 · P90 $41 | 654 | Benchmark |
| Illinois | $9.92 | 0.71x | $9–$33 · P90 $58 | 10,984 | Benchmark |
| North Dakota | $9.92 | 0.71x | $9–$20 · P90 $43 | 261 | Benchmark |
| Nebraska | $9.92 | 0.71x | $8–$24 · P90 $54 | 433 | Benchmark |
| New Mexico | $9.92 | 0.71x | $8–$19 · P90 $42 | 782 | Benchmark |
| Nevada | $9.92 | 0.71x | $9–$18 · P90 $58 | 1,262 | Benchmark |
| Oklahoma | $9.92 | 0.71x | $9–$19 · P90 $37 | 915 | Benchmark |
| Oregon | $9.92 | 0.71x | $8–$19 · P90 $58 | 1,689 | Benchmark |
| Texas | $9.92 | 0.71x | $8–$23 · P90 $58 | 7,636 | Benchmark |
| Utah | $9.92 | 0.71x | $8–$21 · P90 $58 | 839 | Benchmark |
| Montana | $9.86 | 0.70x | $8–$19 · P90 $54 | 403 | Benchmark |
| Kansas | $9.74 | 0.70x | $9–$19 · P90 $26 | 1,290 | Benchmark |
| Tennessee | $9.58 | 0.68x | $8–$18 · P90 $39 | 5,545 | Benchmark |
| Maryland | $9.56 | 0.68x | $8–$19 · P90 $58 | 3,299 | Benchmark |
| Michigan | $9.20 | 0.66x | $6–$18 · P90 $56 | 4,885 | Benchmark |
| Vermont | $9.04 | 0.65x | $9–$9 · P90 $20 | 730 | Benchmark |
| New York | $9.04 | 0.65x | $9–$22 · P90 $42 | 169,813 | Benchmark |
| New Hampshire | $8.70 | 0.62x | $8–$9 · P90 $13 | 3,736 | Benchmark |
| Washington | $8.37 | 0.60x | $8–$15 · P90 $19 | 11,495 | Benchmark |
| Virginia | $8.03 | 0.57x | $8–$11 · P90 $18 | 18,574 | Benchmark |
| West Virginia | $8.03 | 0.57x | $6–$14 · P90 $38 | 1,521 | Benchmark |
| Maine | $8.03 | 0.57x | $7–$9 · P90 $16 | 9,467 | Benchmark |
| Rhode Island | $7.53 | 0.54x | $7–$10 · P90 $19 | 8,402 | Benchmark |
| Kentucky | $7.51 | 0.54x | $7–$10 · P90 $22 | 19,144 | Benchmark |
| Ohio | $6.02 | 0.43x | $6–$13 · P90 $32 | 63,787 | Benchmark |
| Indiana | $6.02 | 0.43x | $6–$6 · P90 $9 | 40,950 | Benchmark |
| Colorado | $5.62 | 0.40x | $6–$10 · P90 $22 | 8,012 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
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Cite this page
Source: Reddenda Code Reality Check, CPT 80061. Reddenda. https://reddenda.health/code/80061/
Derivation federally mandated TiC MRFs, verified to provider identity837,422 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0