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Billing code 0202U · Lab & pathology

0202U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $377.19 for 0202U across 26 states, from $60.33 in Colorado to $416.78 in Arizona.

Data as of Oct 5, 202626 statesEvery rate links to its official source

States publishing
26
National median
$377.19units vary by state
Lowest
$60.33Colorado
Highest
$416.78Arizona
Answer

What does Medicaid pay for 0202U?

26 state Medicaid programs publish a fee-for-service rate for 0202U. The national median is $377.19 (units differ between states). Arizona pays the most, $416.78, and Colorado the least, $60.33, a 6.9x spread.

State ranking

0202U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$416.78——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$416.78——Plans negotiate; applies out of network—
3Minnesota Source · since 2022-01-01$416.78——Plans negotiate; applies out of network—
13North Carolina Source · since 2025-10-01$379.27——Plans must pay at least this—
14Missouri Source · since 2026-07-01$375.10——Plans negotiate; applies out of network—
15West Virginia Source · since 2023-04-01$375.10——Plans negotiate; applies out of network—
25Kansas Source · since 2021-01-01$104.20——Not classified—
26Colorado Source · since 2026-07-01$60.33——Not classified—
See all 26 states for 0202U — start free

18 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 0202U 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 0202U?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $377.19. Arizona pays the most ($416.78) and Colorado the least ($60.33).

Which state pays the highest Medicaid rate for 0202U?

Arizona, at $416.78, effective 2026-10-01.

Do managed-care plans pay the same rate for 0202U?

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.