Medicaid Lab & Imaging Fee Schedules by State

47 states publish Medicaid lab & imaging fee schedules. Nationally, the median published rate runs 90% of the Medicare amount for the same code, ranging from 68.1% (Illinois) to 190.2% (Rhode Island).

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State pages show common-procedure samples. Full all-codes lab & imaging schedules for every state come with the Rates plan.

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Publishing states

47

Distinct procedure codes

3,927

National median % of Medicare

90%

Every state's lab & imaging schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alaska1,844100%--2026
Alabama1,76670%--2026
Arkansas2,179123.5%--2026
Arizona2,817100%--2026
California2,19886.1%--2026
Colorado79490.9%1452026
Connecticut2,17085.5%4052026
District of Columbia1,99880%632026
Delaware2,02098%--2026
Georgia1,134114.4%--2026
Hawaii2,07571.3%--2025
Iowa2,05798.1%--2026
Idaho2,12986.4%2412026
Illinois2,09568.1%--2026
Indiana2,177100%2362026
Kansas2,11485%--2026
Kentucky2,645100%1112026
Louisiana1,89991.7%--2026
Massachusetts2,16688.2%--2025
Maine2,02371.3%--2026
Michigan2,12882.8%--2026
Minnesota2,152100%252026
Missouri2,80690%6292026
Mississippi2,69890%--2026
Montana2,711100%92026
North Carolina1,935100.3%--2026
North Dakota2,143100%2672026
Nebraska1,914100%--2026
New Hampshire1,99786.5%1652026
New Jersey2,23480%--2026
New Mexico2,520111.7%--2026
Nevada1,86771.6%--2026
New York62795.7%--2026
Ohio2,20075%--2026
Oklahoma2,08788.9%--2026
Oregon2,67780%--2026
Pennsylvania1,50088.5%--2026
Rhode Island2,784190.2%--2026
South Carolina1,89178%--2026
Texas2,128137%--2026
Utah1,88599.7%1092026
Virginia2,19286.6%--2026
Vermont1,88097.5%712026
Washington2,05180%--2026
Wisconsin2,101100%--2026
West Virginia2,10190%--2026
Wyoming1,91390%1092026

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. "--" in the PA column means the state publishes no prior-authorization flags on this schedule.

Other Medicaid fee-schedule categories

Frequently asked questions

Which states pay the most for Medicaid lab & imaging services?

Measured as a median percentage of the national Medicare amount, Rhode Island pays the most (190.2% of Medicare) and Illinois the least (68.1%) among states with comparable codes. The full ranking is in the table on this page; individual procedures vary widely within every state.

What do these Medicaid lab & imaging fee schedules cover?

Published fee-for-service rates for laboratory tests and imaging: blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. Each state page lists common procedures with plain-language descriptions and the state's published rate; the complete all-codes schedules are available with a ProviderSignal Rates subscription.

How current are these rates?

Rates come from each state's currently published Medicaid fee schedule and are re-collected on a rolling schedule; pages update automatically after each collection. Most states' schedules on this page are effective 2026.