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0278U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $577.76 for 0278U across 8 states, from $328.41 in Florida to $608.17 in Montana.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
8
National median
$577.76units vary by state
Lowest
$328.41Florida
Highest
$608.17Montana

What does Medicaid pay for 0278U?

8 state Medicaid programs publish a fee-for-service rate for 0278U at the independent level. The national median is $577.76 (units differ between states). Montana pays the most, $608.17, and Florida the least, $328.41, a 1.9x spread.

0278U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2023-01-01$608.17——Not classified—
2Kentucky Source · since 2023-01-01$608.17——Plans negotiate; applies out of network—
3New Mexico Source · since 2024-11-01$608.17——Plans must pay at least this—
7Mississippi Source · since 2026-07-01$547.35——Plans must pay at least this—
8Florida Source · since 2026-01-01$328.41——Plans negotiate; applies out of network—
See all 8 states for 0278U — 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.

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 0278U in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 0278U?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $577.76. Montana pays the most ($608.17) and Florida the least ($328.41).

Which state pays the highest Medicaid rate for 0278U?

Montana, at $608.17, effective 2023-01-01.

Do managed-care plans pay the same rate for 0278U?

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.