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Billing code 0318U · Lab & pathology

0318U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $1,681.96 for 0318U across 6 states, from $1,380.97 in South Carolina to $1,770.48 in Montana.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$1,681.96units vary by state
Lowest
$1,380.97South Carolina
Highest
$1,770.48Montana
Answer

What does Medicaid pay for 0318U?

6 state Medicaid programs publish a fee-for-service rate for 0318U. The national median is $1,681.96 (units differ between states). Montana pays the most, $1,770.48, and South Carolina the least, $1,380.97, a 1.3x spread.

State ranking

0318U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2024-01-01$1,770.48——Not classified—
2Kentucky Source · since 2024-01-01$1,770.48——Plans negotiate; applies out of network—
3Hawaii Source · since 2026-06-01$1,770.48——Plans negotiate; applies out of network—
6South Carolina Source · since 2024-12-01$1,380.97——Not classified—
See all 6 states for 0318U — start free

2 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 0318U 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 0318U?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,681.96. Montana pays the most ($1,770.48) and South Carolina the least ($1,380.97).

Which state pays the highest Medicaid rate for 0318U?

Montana, at $1,770.48, effective 2024-01-01.

Do managed-care plans pay the same rate for 0318U?

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.