M0201 Medicaid reimbursement rate by state (2026)
Administration of pneumococcal, influenza, hepatitis b. Medicaid pays a median of $35.50 for M0201 across 31 states, from $4.00 in Hawaii to $45.65 in District of Columbia.
- States publishing
- 31
- National median
- $35.50units vary by state
- Lowest
- $4.00Hawaii
- Highest
- $45.65District of Columbia
What does Medicaid pay for M0201?
31 state Medicaid programs publish a fee-for-service rate for M0201. The national median is $35.50 (units differ between states). District of Columbia pays the most, $45.65, and Hawaii the least, $4.00, a 11.4x spread.
M0201 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for M0201?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $35.50. District of Columbia pays the most ($45.65) and Hawaii the least ($4.00).
Which state pays the highest Medicaid rate for M0201?
District of Columbia, at $45.65, effective 2026-01-01.
Do managed-care plans pay the same rate for M0201?
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.