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Billing code 0113U · Lab & pathology

0113U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $741.00 for 0113U across 10 states, from $190.00 in Kansas to $760.00 in Montana.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$741.00units vary by state
Lowest
$190.00Kansas
Highest
$760.00Montana
Answer

What does Medicaid pay for 0113U?

10 state Medicaid programs publish a fee-for-service rate for 0113U. The national median is $741.00 (units differ between states). Montana pays the most, $760.00, and Kansas the least, $190.00, a 4.0x spread.

State ranking

0113U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-07-01$760.00——Not classified—
2Arizona Source · since 2023-08-01$760.00——Plans negotiate; applies out of network—
3Kentucky Source · since 2020-01-01$760.00——Plans negotiate; applies out of network—
5Hawaii Source · since 2026-06-01$760.00——Plans negotiate; applies out of network—
6Iowa Source · since 2023-01-01$722.00——Plans must pay at least this—
9Florida Source · since 2026-01-01$410.40——Plans negotiate; applies out of network—
10Kansas Source · since 2020-01-01$190.00——Not classified—
See all 10 states for 0113U — start free

3 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.

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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 0113U 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 0113U?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $741.00. Montana pays the most ($760.00) and Kansas the least ($190.00).

Which state pays the highest Medicaid rate for 0113U?

Montana, at $760.00, effective 2021-07-01.

Do managed-care plans pay the same rate for 0113U?

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.