Colorado Medicaid Lab & Imaging Fee Schedule 2026

Colorado Medicaid publishes 794 lab & imaging procedure rates effective 2026, paying a median 90.9% of the national Medicare amount for the same services. This page shows published rates for common lab & imaging procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Colorado lab & imaging schedule has 794 codes.

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Published codes

794

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

90.9%

vs national Medicare, GPCI-neutral

PA required

145

codes flagged by the state

Common lab & imaging procedures and what Colorado Medicaid pays

A curated sample of recognizable procedures from the 794-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureColorado rate% of Medicare
70110Jaw (mandible) X-ray, 4 or more views$37.8987.9%
70140Facial bone X-ray, under 3 views$28.2288.9%
70160Nasal bone X-ray$33.5789.7%
70220Sinus X-ray, 3 or more views$32.9287.2%
70360Neck soft tissue X-ray$27.6689.1%
70450CT scan of the head without contrast$119.53112.2%
70480CT scan of the eye socket or inner ear without contrast$189.30119.6%
70486CT scan of the face and sinuses without contrast$144.97113%
70491CT scan of neck soft tissue with contrast$208.68113.8%
70551MRI of the brain without contrast$222.08113.7%
70553MRI of the brain without then with contrast$362.22114.3%
71045Chest X-ray, 1 view$27.49108.3%
71046Chest X-ray, 2 views$36.13109.3%
71047Chest X-ray, 3 views$44.76109%
71048Chest X-ray, 4 or more views$53.42118.5%
71100Rib X-ray, one side$32.3289.6%
71250CT scan of the chest without contrast$149.95113.1%
71260CT scan of the chest with contrast$188.47113.1%
71275CT angiography of the chest$318.53113.5%
72040Neck (cervical) spine X-ray, 2-3 views$34.6987.3%
72070Mid-back (thoracic) spine X-ray, 2 views$28.8187.1%
72100Lower back (lumbar) spine X-ray, 2-3 views$34.9886.6%
72110Lower back (lumbar) spine X-ray, 4 or more views$53.0899.3%
72125CT scan of the neck (cervical) spine without contrast$146.20112%
72131CT scan of the lower (lumbar) spine without contrast$145.47112%

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 * show the schedule's representative published variant.

More Colorado Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Colorado Medicaid pay for laboratory tests and imaging?

Colorado Medicaid publishes 794 lab & imaging procedure rates effective 2026, paying a median 90.9% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Colorado's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Colorado Medicaid pays a median 90.9% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do lab & imaging services need prior authorization in Colorado?

Colorado publishes prior-authorization flags on its schedule: 145 lab & imaging codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.

Where do these rates come from?

Directly from Colorado's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time Colorado changes these rates.