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Billing code 0576U · Lab & pathology

0576U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $2,916.00 for 0576U across 6 states, from $1,749.60 in Florida to $3,240.00 in Montana.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$2,916.00units vary by state
Lowest
$1,749.60Florida
Highest
$3,240.00Montana
Answer

What does Medicaid pay for 0576U?

6 state Medicaid programs publish a fee-for-service rate for 0576U. The national median is $2,916.00 (units differ between states). Montana pays the most, $3,240.00, and Florida the least, $1,749.60, a 1.9x spread.

State ranking

0576U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$3,240.00——Not classified—
2Arizona Source · since 2026-10-01$3,240.00——Plans negotiate; applies out of network—
3Missouri Source · since 2026-07-01$2,916.00——Plans negotiate; applies out of network—
6Florida Source · since 2026-01-01$1,749.60——Plans negotiate; applies out of network—
See all 6 states for 0576U — 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.

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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 0576U 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 0576U?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2,916.00. Montana pays the most ($3,240.00) and Florida the least ($1,749.60).

Which state pays the highest Medicaid rate for 0576U?

Montana, at $3,240.00, effective 2026-01-01.

Do managed-care plans pay the same rate for 0576U?

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.