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Billing code 0157U · Lab & pathology

0157U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $282.88 for 0157U across 10 states, from $152.76 in Florida to $282.88 in Montana.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$282.88units vary by state
Lowest
$152.76Florida
Highest
$282.88Montana
Answer

What does Medicaid pay for 0157U?

10 state Medicaid programs publish a fee-for-service rate for 0157U. The national median is $282.88 (units differ between states). Montana pays the most, $282.88, and Florida the least, $152.76, a 1.9x spread.

State ranking

0157U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2022-01-01$282.88——Not classified—
2Arizona Source · since 2026-10-01$282.88——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$282.88——Plans negotiate; applies out of network—
5New Mexico Source · since 2024-11-01$282.88——Plans must pay at least this—
6Hawaii Source · since 2026-06-01$282.88——Plans negotiate; applies out of network—
9Mississippi Source · since 2026-07-01$254.59——Plans must pay at least this—
10Florida Source · since 2026-01-01$152.76——Plans negotiate; applies out of network—
See all 10 states for 0157U — 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 0157U 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 0157U?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $282.88. Montana pays the most ($282.88) and Florida the least ($152.76).

Which state pays the highest Medicaid rate for 0157U?

Montana, at $282.88, effective 2022-01-01.

Do managed-care plans pay the same rate for 0157U?

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.