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Billing code 0018M · Lab & pathology

0018M Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $576.66 for 0018M across 7 states, from $256.36 in Florida to $640.73 in Arizona.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$576.66units vary by state
Lowest
$256.36Florida
Highest
$640.73Arizona
Answer

What does Medicaid pay for 0018M?

7 state Medicaid programs publish a fee-for-service rate for 0018M. The national median is $576.66 (units differ between states). Arizona pays the most, $640.73, and Florida the least, $256.36, a 2.5x spread.

State ranking

0018M rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$640.73——Plans negotiate; applies out of network—
2Kentucky Source · since 2023-01-01$640.73——Plans negotiate; applies out of network—
3Montana Source · since 2023-01-01$640.72——Not classified—
7Florida Source · since 2026-01-01$256.36——Plans negotiate; applies out of network—
See all 7 states for 0018M — 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 0018M 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 0018M?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $576.66. Arizona pays the most ($640.73) and Florida the least ($256.36).

Which state pays the highest Medicaid rate for 0018M?

Arizona, at $640.73, effective 2026-10-01.

Do managed-care plans pay the same rate for 0018M?

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.