The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full District of Columbia lab & imaging schedule has 1,998 codes.
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Published codes
1,998
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
80%
vs national Medicare, GPCI-neutral
PA required
63
+6 conditional or varies
Common lab & imaging procedures and what District of Columbia Medicaid pays
A curated sample of recognizable procedures from the 1,998-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.
| Code | Procedure | District of Columbia rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $39.78 | 92.3% |
| 70140 | Facial bone X-ray, under 3 views | $29.24 | 92.2% |
| 70160 | Nasal bone X-ray | $34.66 | 92.6% |
| 70220 | Sinus X-ray, 3 or more views | $34.84 | 92.3% |
| 70360 | Neck soft tissue X-ray | $28.64 | 92.2% |
| 70450 | CT scan of the head without contrast | $97.56 | 91.6% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $144.90 | 91.5% |
| 70486 | CT scan of the face and sinuses without contrast | $118.02 | 92% |
| 70491 | CT scan of neck soft tissue with contrast | $168.18 | 91.7% |
| 70551 | MRI of the brain without contrast | $179.19 | 91.7% |
| 70553 | MRI of the brain without then with contrast | $291.05 | 91.8% |
| 71045 | Chest X-ray, 1 view | $23.29 | 91.8% |
| 71046 | Chest X-ray, 2 views | $30.43 | 92% |
| 71047 | Chest X-ray, 3 views | $37.82 | 92.1% |
| 71048 | Chest X-ray, 4 or more views | $41.45 | 91.9% |
| 71100 | Rib X-ray, one side | $33.26 | 92.2% |
| 71250 | CT scan of the chest without contrast | $121.36 | 91.5% |
| 71260 | CT scan of the chest with contrast | $153.17 | 91.9% |
| 71275 | CT angiography of the chest | $258.30 | 92.1% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $36.73 | 92.4% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $30.46 | 92.1% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $37.36 | 92.5% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $49.48 | 92.6% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $119.70 | 91.7% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $119.08 | 91.6% |
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 District of Columbia Medicaid fee schedules
- District of Columbia physician fee schedule · 6,530 codes
- District of Columbia dme & supplies fee schedule · 1,711 codes
- District of Columbia drugs fee schedule · 868 codes
- District of Columbia other services fee schedule · 454 codes
- District of Columbia vision fee schedule · 160 codes
- District of Columbia behavioral health fee schedule · 68 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does District of Columbia Medicaid pay for laboratory tests and imaging?
District of Columbia Medicaid publishes 1,998 lab & imaging procedure rates effective 2026, paying a median 80% 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 District of Columbia's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, District of Columbia Medicaid pays a median 80% 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 District of Columbia?
District of Columbia publishes prior-authorization flags on its schedule: 63 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 District of Columbia'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 District of Columbia changes these rates.