Skip to content
Billing code 0557U · Lab & pathology

0557U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $236.69 for 0557U across 5 states, from $142.01 in Florida to $262.99 in Montana.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$236.69units vary by state
Lowest
$142.01Florida
Highest
$262.99Montana
Answer

What does Medicaid pay for 0557U?

5 state Medicaid programs publish a fee-for-service rate for 0557U. The national median is $236.69 (units differ between states). Montana pays the most, $262.99, and Florida the least, $142.01, a 1.9x spread.

State ranking

0557U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$262.99——Not classified—
2Arizona Source · since 2026-07-01$262.99——Plans negotiate; applies out of network—
3Missouri Source · since 2026-07-01$236.69——Plans negotiate; applies out of network—
See all 5 states for 0557U — start free

2 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 0557U 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 0557U?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $236.69. Montana pays the most ($262.99) and Florida the least ($142.01).

Which state pays the highest Medicaid rate for 0557U?

Montana, at $262.99, effective 2026-01-01.

Do managed-care plans pay the same rate for 0557U?

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.