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Billing code Q0091 · Pharmacy

Q0091 Medicaid reimbursement rate by state (2026)

Screening papanicolaou smear; obtaining. Medicaid pays a median of $29.39 for Q0091 across 19 states, from $2.79 in South Carolina to $74.93 in Alaska.

Data as of Oct 5, 202619 statesEvery rate links to its official source

States publishing
19
National median
$29.39units vary by state
Lowest
$2.79South Carolina
Highest
$74.93Alaska
Answer

What does Medicaid pay for Q0091?

19 state Medicaid programs publish a fee-for-service rate for Q0091. The national median is $29.39 (units differ between states). Alaska pays the most, $74.93, and South Carolina the least, $2.79, a 26.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $42.25–$53.80 depending on the state's Medicare locality.

State ranking

Q0091 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$74.93——Not classified—
2Montana Source · since 2026-07-01$64.79——Not classified—
3North Dakota Source · since 2026-07-01$51.07——Not classified—
9Utah Source · since 2011-09-01$30.06——Plans negotiate; applies out of network—
10Michigan Source · since 2026-01-01$29.39——Plans negotiate; applies out of network—
11Nevada Source · since 2024-01-01$20.73——Plans must pay at least this—
18New Jersey Source · since 2026-07-01$4.72——Not classified—
19South Carolina Source · since 2011-07-11$2.79——Not classified—
See all 19 states for Q0091 — start free

11 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 Q0091 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 Q0091?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $29.39. Alaska pays the most ($74.93) and South Carolina the least ($2.79).

Which state pays the highest Medicaid rate for Q0091?

Alaska, at $74.93, effective 2026-07-01.

Do managed-care plans pay the same rate for Q0091?

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.