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Billing code 0231U · Lab & pathology

0231U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $846.27 for 0231U across 9 states, from $456.98 in Florida to $846.27 in Montana.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$846.27units vary by state
Lowest
$456.98Florida
Highest
$846.27Montana
Answer

What does Medicaid pay for 0231U?

9 state Medicaid programs publish a fee-for-service rate for 0231U. The national median is $846.27 (units differ between states). Montana pays the most, $846.27, and Florida the least, $456.98, a 1.9x spread.

State ranking

0231U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2022-01-01$846.27——Not classified—
2Arizona Source · since 2026-10-01$846.27——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$846.27——Plans negotiate; applies out of network—
5Kentucky Source · since 2022-01-01$846.27——Plans negotiate; applies out of network—
8Mississippi Source · since 2026-07-01$761.64——Plans must pay at least this—
9Florida Source · since 2026-01-01$456.98——Plans negotiate; applies out of network—
See all 9 states for 0231U — 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 0231U 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 0231U?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $846.27. Montana pays the most ($846.27) and Florida the least ($456.98).

Which state pays the highest Medicaid rate for 0231U?

Montana, at $846.27, effective 2022-01-01.

Do managed-care plans pay the same rate for 0231U?

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.