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Billing code G0433 · Lab & pathology

G0433 Medicaid reimbursement rate by state (2026)

Infectious agent antibody detection by enzyme-linked.... Medicaid pays a median of $16.46 for G0433 across 29 states, from $4.95 in Kansas to $19.75 in Texas.

Data as of Oct 5, 202629 statesEvery rate links to its official source

States publishing
29
National median
$16.46units vary by state
Lowest
$4.95Kansas
Highest
$19.75Texas
Answer

What does Medicaid pay for G0433?

29 state Medicaid programs publish a fee-for-service rate for G0433. The national median is $16.46 (units differ between states). Texas pays the most, $19.75, and Kansas the least, $4.95, a 4.0x spread.

State ranking

G0433 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2019-07-04$19.75——Plans negotiate; applies out of network—
2Arizona Source · since 2026-10-01$18.29——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$18.29——Plans negotiate; applies out of network—
14Oklahoma Source · since 2025-01-01$17.38——Plans must pay at least this—
15Missouri Source · since 2026-07-01$16.46——Plans negotiate; applies out of network—
16Massachusetts Source · since 2024-09-01$16.13——Plans negotiate; applies out of network—
28Nevada Source · since 2024-01-01$10.12——Plans must pay at least this—
29Kansas Source · since 2009-12-08$4.95——Not classified—
See all 29 states for G0433 — start free

21 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 G0433 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 G0433?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $16.46. Texas pays the most ($19.75) and Kansas the least ($4.95).

Which state pays the highest Medicaid rate for G0433?

Texas, at $19.75, effective 2019-07-04.

Do managed-care plans pay the same rate for G0433?

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.