0538U Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $2,690.60 for 0538U across 6 states, from $1,614.36 in Florida to $2,989.55 in Arizona.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- National median
- $2,690.60units vary by state
- Lowest
- $1,614.36Florida
- Highest
- $2,989.55Arizona
What does Medicaid pay for 0538U?
6 state Medicaid programs publish a fee-for-service rate for 0538U at the independent level. The national median is $2,690.60 (units differ between states). Arizona pays the most, $2,989.55, and Florida the least, $1,614.36, a 1.9x spread.
0538U 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.
Frequently asked questions
What does Medicaid pay for 0538U?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2,690.60. Arizona pays the most ($2,989.55) and Florida the least ($1,614.36).
Which state pays the highest Medicaid rate for 0538U?
Arizona, at $2,989.55, effective 2026-10-01.
Do managed-care plans pay the same rate for 0538U?
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.