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Billing code P9615 · Lab & pathology

P9615 Medicaid reimbursement rate by state (2026)

Catheterization for collection of specimen(s). Medicaid pays a median of $7.56 for P9615 across 21 states, from $1.80 in Rhode Island to $9.34 in Minnesota.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$7.56units vary by state
Lowest
$1.80Rhode Island
Highest
$9.34Minnesota
Answer

What does Medicaid pay for P9615?

21 state Medicaid programs publish a fee-for-service rate for P9615. The national median is $7.56 (units differ between states). Minnesota pays the most, $9.34, and Rhode Island the least, $1.80, a 5.2x spread.

State ranking

P9615 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-01-01$9.34——Plans negotiate; applies out of network—
2Kentucky Source · since 2026-01-01$9.34——Plans negotiate; applies out of network—
3Montana Source · since 2026-01-01$9.34——Not classified—
10Oklahoma Source · since 2026-01-01$8.31——Plans must pay at least this—
11Massachusetts Source · since 2024-09-01$7.56——Plans negotiate; applies out of network—
12Oregon Source · since 2026-01-01$7.47——Plans negotiate; applies out of network—
20Connecticut Source · since 2015-01-01$2.10——Not classified—
21Rhode Island Source · since 2000-01-01$1.80——Plans negotiate; applies out of network—
See all 21 states for P9615 — start free

13 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 P9615 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 P9615?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $7.56. Minnesota pays the most ($9.34) and Rhode Island the least ($1.80).

Which state pays the highest Medicaid rate for P9615?

Minnesota, at $9.34, effective 2026-01-01.

Do managed-care plans pay the same rate for P9615?

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.