| Code | Description | States | Median rate |
|---|---|---|---|
| 71045 | Chest X-ray, 1 view | 48 | $20.35 |
| 71046 | Chest X-ray, 2 views | 48 | $26.47 |
| 71047 | Chest X-ray, 3 views | 48 | $33.31 |
| 71048 | Chest X-ray, 4 or more views | 48 | $36.46 |
| 71100 | Rib X-ray, one side | 48 | $29.31 |
| 71101 | Rib X-ray, one side, with chest view | 48 | $33.54 |
| 71110 | Rib X-ray, both sides, 3 views | 48 | $34.87 |
| 71111 | Rib X-ray, both sides, with chest view | 48 | $41.75 |
| 71120 | Breastbone (sternum) X-ray, 2 or more views | 48 | $26.75 |
| 71250 | CT scan of the chest without contrast | 48 | $128.05 |
| 71260 | CT scan of the chest with contrast | 48 | $158.97 |
| 71270 | CT scan of the chest, without then with contrast | 48 | $187.17 |
| 71271 | Low-dose CT lung cancer screening | 48 | $114.58 |
| 71275 | CT angiography of the chest | 48 | $261.46 |
| 71550 | MRI of the chest without contrast | 48 | $305.81 |
| 71551 | MRI of the chest with contrast | 48 | $355.66 |
| 71552 | MRI of the chest, without then with contrast | 48 | $444.57 |
| 71555 | MR angiogram of the chest | 47 | $329.74 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.