Skip to content
Billing code 0034U · Lab & pathology

0034U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $419.55 for 0034U across 12 states, from $116.54 in Kansas to $466.17 in Montana.

Data as of Oct 5, 202612 statesEvery rate links to its official source

States publishing
12
National median
$419.55units vary by state
Lowest
$116.54Kansas
Highest
$466.17Montana
Answer

What does Medicaid pay for 0034U?

12 state Medicaid programs publish a fee-for-service rate for 0034U. The national median is $419.55 (units differ between states). Montana pays the most, $466.17, and Kansas the least, $116.54, a 4.0x spread.

State ranking

0034U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-07-01$466.17——Not classified—
2Arizona Source · since 2026-10-01$466.17——Plans negotiate; applies out of network—
3Indiana Source · since 2024-07-01$466.17unit—Plans must pay at least this—
6Missouri Source · since 2026-07-01$419.55——Plans negotiate; applies out of network—
7Mississippi Source · since 2026-07-01$419.55——Plans must pay at least this—
8California Source · since 2026-10-01$372.94——Plans negotiate; applies out of network—
11Florida Source · since 2026-01-01$251.73——Plans negotiate; applies out of network—
12Kansas Source · since 2019-01-01$116.54——Not classified—
See all 12 states for 0034U — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 0034U in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 0034U?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $419.55. Montana pays the most ($466.17) and Kansas the least ($116.54).

Which state pays the highest Medicaid rate for 0034U?

Montana, at $466.17, effective 2021-07-01.

Do managed-care plans pay the same rate for 0034U?

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 workspace shows the rule for each state, cited to the contract or statute.