J7040 Medicaid reimbursement rate by state (2026)
Infusion, normal saline solution, sterile (500 ml = 1 unit). Medicaid pays a median of $1.35 for J7040 across 37 states, from $0.50 in North Carolina to $6.98 in New Jersey.
- States publishing
- 37
- National median
- $1.35units vary by state
- Lowest
- $0.50North Carolina
- Highest
- $6.98New Jersey
What does Medicaid pay for J7040?
37 state Medicaid programs publish a fee-for-service rate for J7040. The national median is $1.35 (units differ between states). New Jersey pays the most, $6.98, and North Carolina the least, $0.50, a 14.0x spread.
J7040 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J7040?
It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $1.35. New Jersey pays the most ($6.98) and North Carolina the least ($0.50).
Which state pays the highest Medicaid rate for J7040?
New Jersey, at $6.98, effective 2025-01-01.
Do managed-care plans pay the same rate for J7040?
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.