Skip to content
Billing code 0494U · Lab & pathology

0494U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $751.46 for 0494U across 10 states, from $409.89 in Florida to $759.05 in Arizona.

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

States publishing
10
National median
$751.46units vary by state
Lowest
$409.89Florida
Highest
$759.05Arizona
Answer

What does Medicaid pay for 0494U?

10 state Medicaid programs publish a fee-for-service rate for 0494U. The national median is $751.46 (units differ between states). Arizona pays the most, $759.05, and Florida the least, $409.89, a 1.9x spread.

State ranking

0494U 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
1Arizona Source · since 2026-10-01$759.05——Plans negotiate; applies out of network—
2California Source · since 2026-10-01$759.05——Plans negotiate; applies out of network—
3Kentucky Source · since 2025-01-01$759.05——Plans negotiate; applies out of network—
5Montana Source · since 2025-01-01$759.04——Not classified—
6Delaware Source · since 2025-01-01$743.87——Plans negotiate; applies out of network—
9Maryland Source · since 2026-02-01$603.44——Not classified—
10Florida Source · since 2026-01-01$409.89——Plans negotiate; applies out of network—
See all 10 states for 0494U — 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.

  • 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 0494U 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 0494U?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $751.46. Arizona pays the most ($759.05) and Florida the least ($409.89).

Which state pays the highest Medicaid rate for 0494U?

Arizona, at $759.05, effective 2026-10-01.

Do managed-care plans pay the same rate for 0494U?

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.