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Billing code 0417U · Lab & pathology

0417U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $2,842.53 for 0417U across 7 states, from $1,534.97 in Florida to $4,982.43 in North Carolina.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$2,842.53units vary by state
Lowest
$1,534.97Florida
Highest
$4,982.43North Carolina
Answer

What does Medicaid pay for 0417U?

7 state Medicaid programs publish a fee-for-service rate for 0417U. The national median is $2,842.53 (units differ between states). North Carolina pays the most, $4,982.43, and Florida the least, $1,534.97, a 3.2x spread.

State ranking

0417U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Carolina Source · since 2025-10-01$4,982.43——Plans must pay at least this—
2Montana Source · since 2025-01-01$2,842.53——Not classified—
3Kentucky Source · since 2025-01-01$2,842.53——Plans negotiate; applies out of network—
7Florida Source · since 2026-01-01$1,534.97——Plans negotiate; applies out of network—
See all 7 states for 0417U — 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.

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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 0417U 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 0417U?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2,842.53. North Carolina pays the most ($4,982.43) and Florida the least ($1,534.97).

Which state pays the highest Medicaid rate for 0417U?

North Carolina, at $4,982.43, effective 2025-10-01.

Do managed-care plans pay the same rate for 0417U?

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.