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Billing code 0506U · Lab & pathology

0506U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $1,899.25 for 0506U across 9 states, from $1,046.53 in Florida to $1,938.01 in Montana.

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

States publishing
9
National median
$1,899.25units vary by state
Lowest
$1,046.53Florida
Highest
$1,938.01Montana
Answer

What does Medicaid pay for 0506U?

9 state Medicaid programs publish a fee-for-service rate for 0506U. The national median is $1,899.25 (units differ between states). Montana pays the most, $1,938.01, and Florida the least, $1,046.53, a 1.9x spread.

State ranking

0506U 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 2025-01-01$1,938.01——Not classified—
2Arizona Source · since 2026-10-01$1,938.01——Plans negotiate; applies out of network—
3Kentucky Source · since 2025-01-01$1,938.01——Plans negotiate; applies out of network—
5Delaware Source · since 2025-01-01$1,899.25——Plans negotiate; applies out of network—
8Maryland Source · since 2026-02-01$1,540.72——Not classified—
9Florida Source · since 2026-01-01$1,046.53——Plans negotiate; applies out of network—
See all 9 states for 0506U — 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 0506U 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 0506U?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $1,899.25. Montana pays the most ($1,938.01) and Florida the least ($1,046.53).

Which state pays the highest Medicaid rate for 0506U?

Montana, at $1,938.01, effective 2025-01-01.

Do managed-care plans pay the same rate for 0506U?

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.