S5551 Medicaid reimbursement rate by state (2026)
Insulin, most rapid onset (lispro or aspart); 5 units. Medicaid pays a median of $0.37 for S5551 across 5 states, from $0.33 in Nevada to $4.91 in California.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- National median
- $0.37units vary by state
- Lowest
- $0.33Nevada
- Highest
- $4.91California
What does Medicaid pay for S5551?
5 state Medicaid programs publish a fee-for-service rate for S5551 at the physician psychologist level. The national median is $0.37 (units differ between states). California pays the most, $4.91, and Nevada the least, $0.33, a 14.9x spread.
S5551 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S5551?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $0.37. California pays the most ($4.91) and Nevada the least ($0.33).
Which state pays the highest Medicaid rate for S5551?
California, at $4.91, effective 2026-10-01.
Do managed-care plans pay the same rate for S5551?
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.