Idaho Medicaid Lab & Imaging Fee Schedule 2026

Idaho Medicaid publishes 2,129 lab & imaging procedure rates effective 2026, paying a median 86.4% 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 Idaho Medicaid fee schedule (9 categories).

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The table on this page is a common-procedure sample. The full Idaho lab & imaging schedule has 2,129 codes.

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Published codes

2,129

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

86.4%

vs national Medicare, GPCI-neutral

PA required

241

+3 conditional or varies

Common lab & imaging procedures and what Idaho Medicaid pays

A curated sample of recognizable procedures from the 2,129-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.

CodeProcedureIdaho rate% of Medicare
70100Jaw (mandible) X-ray, up to 3 views$32.2879.9%
70110Jaw (mandible) X-ray, 4 or more views$34.5480.2%
70140Facial bone X-ray, under 3 views$25.4080.1%
70150Facial bone X-ray, complete, 3 or more views$37.4980.2%
70160Nasal bone X-ray$29.8779.8%
70200Eye socket X-ray, complete, 4 or more views$37.5480.3%
70210Sinus X-ray, up to 2 views$25.8879.9%
70220Sinus X-ray, 3 or more views$30.2380.1%
70250Skull X-ray, up to 3 views$28.5679.9%
70328Jaw joint (TMJ) X-ray, one side$27.2480%
70330Jaw joint (TMJ) X-ray, both sides$42.7580%
70360Neck soft tissue X-ray$24.8480%
70450CT scan of the head without contrast$85.8480.6%
70480CT scan of the eye socket or inner ear without contrast$127.5780.6%
70486CT scan of the face and sinuses without contrast$103.0980.4%
70491CT scan of neck soft tissue with contrast$147.7180.6%
70551MRI of the brain without contrast$157.3580.5%
70553MRI of the brain without then with contrast$255.0480.5%
71045Chest X-ray, 1 view$20.3480.1%
71046Chest X-ray, 2 views$26.5180.2%
71047Chest X-ray, 3 views$33.0080.3%
71048Chest X-ray, 4 or more views$36.1580.2%
71100Rib X-ray, one side$28.9180.1%
71101Rib X-ray, one side, with chest view$33.4080%
71110Rib X-ray, both sides, 3 views$34.3780.4%

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 Idaho Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Idaho Medicaid pay for laboratory tests and imaging?

Idaho Medicaid publishes 2,129 lab & imaging procedure rates effective 2026, paying a median 86.4% 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 Idaho's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Idaho Medicaid pays a median 86.4% 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 Idaho?

Idaho publishes prior-authorization flags on its schedule: 241 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 Idaho'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.