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Billing code P9011 · Lab & pathology

P9011 Medicaid reimbursement rate by state (2026)

Blood, split unit. Medicaid pays a median of $100.81 for P9011 across 8 states, from $11.48 in Idaho to $149.20 in California.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$100.81units vary by state
Lowest
$11.48Idaho
Highest
$149.20California
Answer

What does Medicaid pay for P9011?

8 state Medicaid programs publish a fee-for-service rate for P9011. The national median is $100.81 (units differ between states). California pays the most, $149.20, and Idaho the least, $11.48, a 13.0x spread.

State ranking

P9011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-10-01$149.20——Plans negotiate; applies out of network—
2South Dakota Source · since 2026-07-01$143.79——Not classified—
3West Virginia Source · since 2026-04-01$140.26——Plans negotiate; applies out of network—
7Montana Source · since 2025-07-01$13.33——Not classified—
8Idaho Source · since 2025-09-01$11.48——Not classified—
See all 8 states for P9011 — 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 P9011 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 P9011?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $100.81. California pays the most ($149.20) and Idaho the least ($11.48).

Which state pays the highest Medicaid rate for P9011?

California, at $149.20, effective 2026-10-01.

Do managed-care plans pay the same rate for P9011?

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.