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Billing code 0121U · Lab & pathology

0121U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $483.74 for 0121U across 8 states, from $127.30 in Kansas to $509.20 in Montana.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$483.74units vary by state
Lowest
$127.30Kansas
Highest
$509.20Montana
Answer

What does Medicaid pay for 0121U?

8 state Medicaid programs publish a fee-for-service rate for 0121U. The national median is $483.74 (units differ between states). Montana pays the most, $509.20, and Kansas the least, $127.30, a 4.0x spread.

State ranking

0121U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-07-01$509.20——Not classified—
2Arizona Source · since 2026-10-01$509.20——Plans negotiate; applies out of network—
3Kentucky Source · since 2021-01-01$509.20——Plans negotiate; applies out of network—
7Florida Source · since 2026-01-01$274.97——Plans negotiate; applies out of network—
8Kansas Source · since 2021-01-01$127.30——Not classified—
See all 8 states for 0121U — 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 0121U 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 0121U?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $483.74. Montana pays the most ($509.20) and Kansas the least ($127.30).

Which state pays the highest Medicaid rate for 0121U?

Montana, at $509.20, effective 2021-07-01.

Do managed-care plans pay the same rate for 0121U?

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.