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0388U Medicaid reimbursement rates by state

Clinical lab tests. 10 state Medicaid programs publish a fee-for-service rate for 0388U at the physician psychologist level. Rates run from $0.00 in Arkansas to $3,500.00 in California, with a median of $3,150.00.

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

States publishing
10
Median rate
$3,150.00units vary by state
Highest
$3,500.00California
Medicare (non-facility)
—not on the physician fee schedule

0388U 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$3,500.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3,500.00since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$3,500.00since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$3,499.99since 2025-01-01——Not classified—Montana Healthcare Programs fee schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$3,150.00since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$3,150.00since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$3,150.00since 2025-04-01——Plans negotiate; applies out of network—BMS CY 2025 Clinical Lab Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1,890.00since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,774.50since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Laboratory' -
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory

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 0388U?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $3,150.00. California pays the most ($3,500.00) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 0388U?

California, at $3,500.00, effective 2026-10-01.

Do managed-care plans pay the same rate for 0388U?

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.

Related Lab & pathology codes

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