Connecticut Medicaid Lab & Imaging Fee Schedule 2026

Connecticut Medicaid publishes 2,170 lab & imaging procedure rates effective 2026, paying a median 85.5% 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. It is one category of the Connecticut Medicaid fee schedule (10 categories).

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The table on this page is a common-procedure sample. The full Connecticut lab & imaging schedule has 2,170 codes.

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Published codes

2,170

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

85.5%

vs national Medicare, GPCI-neutral

PA required

405

codes flagged by the state

Common lab & imaging procedures and what Connecticut Medicaid pays

A curated sample of recognizable procedures from the 2,170-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.

CodeProcedureConnecticut rate% of Medicare
70100Jaw (mandible) X-ray, up to 3 views$30.4675.4%
70110Jaw (mandible) X-ray, 4 or more views$34.3179.6%
70140Facial bone X-ray, under 3 views$25.1579.3%
70150Facial bone X-ray, complete, 3 or more views$36.6878.4%
70160Nasal bone X-ray$29.6879.3%
70200Eye socket X-ray, complete, 4 or more views$37.4380%
70210Sinus X-ray, up to 2 views$25.4578.5%
70220Sinus X-ray, 3 or more views$29.6078.4%
70250Skull X-ray, up to 3 views$28.3479.3%
70328Jaw joint (TMJ) X-ray, one side$27.0279.3%
70330Jaw joint (TMJ) X-ray, both sides$41.7478.1%
70360Neck soft tissue X-ray$24.6479.3%
70450CT scan of the head without contrast$148.19139.1%
70480CT scan of the eye socket or inner ear without contrast$171.06108%
70486CT scan of the face and sinuses without contrast$166.74130%
70491CT scan of neck soft tissue with contrast$200.49109.3%
70551MRI of the brain without contrast$287.79147.3%
70553MRI of the brain without then with contrast$418.08131.9%
71045Chest X-ray, 1 view$20.4080.4%
71046Chest X-ray, 2 views$26.4279.9%
71047Chest X-ray, 3 views$32.9680.2%
71048Chest X-ray, 4 or more views$36.8081.6%
71100Rib X-ray, one side$28.8079.8%
71101Rib X-ray, one side, with chest view$32.9678.9%
71110Rib X-ray, both sides, 3 views$34.2580.1%

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 Connecticut Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Connecticut Medicaid pay for laboratory tests and imaging?

Connecticut Medicaid publishes 2,170 lab & imaging procedure rates effective 2026, paying a median 85.5% 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 Connecticut's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Connecticut Medicaid pays a median 85.5% 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 Connecticut?

Connecticut publishes prior-authorization flags on its schedule: 405 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 Connecticut'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.