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J1921 Medicaid reimbursement rate by state (2026)

Injection, labetalol hydrochloride (hikma). Medicaid pays a median of $0.91 for J1921 across 35 states, from $0.11 in Minnesota to $3.04 in Iowa.

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

States publishing
35
National median
$0.91units vary by state
Lowest
$0.11Minnesota
Highest
$3.04Iowa

What does Medicaid pay for J1921?

35 state Medicaid programs publish a fee-for-service rate for J1921 at the physician psychologist level. The national median is $0.91 (units differ between states). Iowa pays the most, $3.04, and Minnesota the least, $0.11, a 27.6x spread.

J1921 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2024-03-01$3.04——Plans must pay at least this—
2Arizona Source · since 2024-04-01$2.37——Plans negotiate; applies out of network—
3Massachusetts Source · since 2026-03-01$1.81——Plans negotiate; applies out of network—
17Michigan Source · since 2026-07-01$0.91——Plans negotiate; applies out of network—
18South Carolina Source · since 2026-07-01$0.91——Plans negotiate; applies out of network—
19Oregon Source · since 2026-07-01$0.91——Plans negotiate; applies out of network—
34Indiana Source · since 2023-07-01$0.74unit—Plans must pay at least this—
35Minnesota Source · since 2026-09-01$0.11——Plans negotiate; applies out of network—
See all 35 states for J1921 — start free

27 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 J1921 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 J1921?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $0.91. Iowa pays the most ($3.04) and Minnesota the least ($0.11).

Which state pays the highest Medicaid rate for J1921?

Iowa, at $3.04, effective 2024-03-01.

Do managed-care plans pay the same rate for J1921?

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.