0240U Medicaid reimbursement rates by state
Clinical lab tests. 11 state Medicaid programs publish a fee-for-service rate for 0240U at the physician psychologist level. Rates run from $142.50 in Arizona to $152.84 in Colorado, with a median of $142.63.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $142.63units vary by state
- Highest
- $152.84Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
0240U rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $152.84since 2024-07-01 | — | — | Not classified | — | Clinical Diagnostic Laboratory Test (CDL |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $149.31since 2023-07-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service CPT |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $142.63since 2024-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $142.63since 2022-07-01 | — | — | Plans negotiate; applies out of network | — | Clinical Laboratory Rates, effective Jul |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $142.63since 2021-07-01 | — | — | Plans negotiate; applies out of network | — | Lab Max Allowable_ (005) (in Zipped Fee |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $142.63since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Laboratory' - |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $142.63since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid ad hoc fee schedule: C |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $142.63since 2020-10-06 | — | — | Not classified | — | NJMMIS Coronavirus Services procedure co |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $142.63since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Clinical Lab fee schedule (2 |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $142.63since 2025-06-13 | — | — | Not classified | — | Arkansas Medicaid Nurse Practitioner Fee |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $142.50since 2025-04-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Clinical |
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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 0240U?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $142.63. Colorado pays the most ($152.84) and Arizona the least ($142.50).
Which state pays the highest Medicaid rate for 0240U?
Colorado, at $152.84, effective 2024-07-01.
Do managed-care plans pay the same rate for 0240U?
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 table shows the rule for each state, cited to the contract or statute.