The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 70486. Full schedules include every locality, modifier, and age-band variant.
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Publishing states
47
Median % of Medicare
92.7%
Rate range
$38.80 - $310.28
70486 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $205.58 | 160.3% | -- | 2026 |
| Alabama | $88.07 | 68.7% | -- | 2026 |
| Arkansas | $298.10 | 232.4% | -- | 2026 |
| Arizona | $138.29 | 107.8% | -- | 2022 |
| California | $123.35 | 96.2% | -- | 2026 |
| Colorado | $144.97 | 113% | Required | 2026 |
| Connecticut | $166.74 | 130% | Required | 2015 |
| District of Columbia | $118.02 | 92% | Not required | 2026 |
| Delaware | $38.80* | 30.3% | -- | 2026 |
| Georgia | $211.41 | 164.8% | -- | 2026 |
| Hawaii | $87.30 | 68.1% | -- | 2025 |
| Iowa | $186.67 | 145.5% | -- | 2024 |
| Idaho | $103.09 | 80.4% | Not required | 2026 |
| Illinois | $82.34 | 64.2% | -- | 2024 |
| Indiana | $120.40 | 93.9% | -- | 2025 |
| Kansas | $105.67 | 82.4% | -- | 2024 |
| Kentucky | $176.55 | 137.7% | -- | 2026 |
| Louisiana | $155.93 | 121.6% | -- | 2026 |
| Massachusetts | $104.31 | 81.3% | -- | 2025 |
| Maine | $86.60 | 67.5% | -- | 2026 |
| Michigan | $81.79 | 63.8% | -- | 2026 |
| Minnesota | $99.83 | 77.8% | -- | 2026 |
| Missouri | $136.59 | 106.5% | Required | 2022 |
| Mississippi | $102.64 | 80% | -- | 2026 |
| Montana | $177.05 | 138% | -- | 2026 |
| North Carolina | $217.59 | 169.6% | -- | 2025 |
| North Dakota | $142.69 | 111.3% | Not required | 2026 |
| Nebraska | $310.28 | 241.9% | -- | 2026 |
| New Hampshire | $118.96 | 92.7% | Required | 2026 |
| New Jersey | $65.85 | 51.3% | Not required | 2026 |
| New Mexico | $149.91 | 116.9% | -- | 2023 |
| Nevada | $229.15 | 178.7% | -- | 2024 |
| New York | $198.49 | 154.8% | -- | 2026 |
| Ohio | $118.49 | 92.4% | -- | 2018 |
| Oklahoma | $109.68 | 85.5% | -- | 2026 |
| Oregon | $104.13* | 81.2% | -- | 2026 |
| Pennsylvania | $130.00 | 101.4% | -- | 2009 |
| Rhode Island | $285.66 | 222.7% | -- | 2026 |
| South Carolina | $93.65 | 73% | -- | 2024 |
| Texas | $105.32* | 82.1% | -- | 2025 |
| Utah | $119.58* | 93.2% | Not required | 2026 |
| Virginia | $111.11 | 86.6% | -- | 2026 |
| Vermont | $107.85 | 84.1% | -- | 2026 |
| Washington | $79.31 | 61.8% | -- | 2026 |
| Wisconsin | $242.58 | 189.1% | -- | 2008 |
| West Virginia | $84.42 | 65.8% | -- | 2026 |
| Wyoming | $113.17 | 88.2% | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related lab & imaging codes
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70140 - Facial bone X-ray, under 3 views
- 70160 - Nasal bone X-ray
- 70220 - Sinus X-ray, 3 or more views
- 70360 - Neck soft tissue X-ray
- 70450 - CT scan of the head without contrast
- 70480 - CT scan of the eye socket or inner ear without contrast
- 70491 - CT scan of neck soft tissue with contrast
Frequently asked questions
How much does Medicaid pay for 70486?
47 state Medicaid programs publish a fee-for-service rate for 70486 (cT scan of the face and sinuses without contrast), ranging from $38.80 in Delaware to $310.28 in Nebraska, with a median of 92.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 70486?
Nebraska publishes the highest Medicaid rate for 70486 at $310.28 (241.9% of the national Medicare amount). Delaware publishes the lowest at $38.80.
Does 70486 require prior authorization under Medicaid?
4 of the 47 publishing states flag 70486 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".