Skip to content
Billing code 0246U · Lab & pathology

0246U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $648.00 for 0246U across 9 states, from $388.80 in Florida to $720.00 in Montana.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$648.00units vary by state
Lowest
$388.80Florida
Highest
$720.00Montana
Answer

What does Medicaid pay for 0246U?

9 state Medicaid programs publish a fee-for-service rate for 0246U. The national median is $648.00 (units differ between states). Montana pays the most, $720.00, and Florida the least, $388.80, a 1.9x spread.

State ranking

0246U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2022-01-01$720.00——Not classified—
2California Source · since 2026-10-01$720.00——Plans negotiate; applies out of network—
3Kentucky Source · since 2022-01-01$720.00——Plans negotiate; applies out of network—
5Missouri Source · since 2026-07-01$648.00——Plans negotiate; applies out of network—
8Maryland Source · since 2026-02-01$572.40——Not classified—
9Florida Source · since 2026-01-01$388.80——Plans negotiate; applies out of network—
See all 9 states for 0246U — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 0246U 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 0246U?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $648.00. Montana pays the most ($720.00) and Florida the least ($388.80).

Which state pays the highest Medicaid rate for 0246U?

Montana, at $720.00, effective 2022-01-01.

Do managed-care plans pay the same rate for 0246U?

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.