The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Idaho lab & imaging schedule has 2,129 codes.
- Every code on all 51 published schedules
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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.
| Code | Procedure | Idaho rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $34.54 | 80.2% |
| 70140 | Facial bone X-ray, under 3 views | $25.40 | 80.1% |
| 70160 | Nasal bone X-ray | $29.87 | 79.8% |
| 70220 | Sinus X-ray, 3 or more views | $30.23 | 80.1% |
| 70360 | Neck soft tissue X-ray | $24.84 | 80% |
| 70450 | CT scan of the head without contrast | $85.84 | 80.6% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $127.57 | 80.6% |
| 70486 | CT scan of the face and sinuses without contrast | $103.09 | 80.4% |
| 70491 | CT scan of neck soft tissue with contrast | $147.71 | 80.6% |
| 70551 | MRI of the brain without contrast | $157.35 | 80.5% |
| 70553 | MRI of the brain without then with contrast | $255.04 | 80.5% |
| 71045 | Chest X-ray, 1 view | $20.34 | 80.1% |
| 71046 | Chest X-ray, 2 views | $26.51 | 80.2% |
| 71047 | Chest X-ray, 3 views | $33.00 | 80.3% |
| 71048 | Chest X-ray, 4 or more views | $36.15 | 80.2% |
| 71100 | Rib X-ray, one side | $28.91 | 80.1% |
| 71250 | CT scan of the chest without contrast | $106.92 | 80.6% |
| 71260 | CT scan of the chest with contrast | $133.93 | 80.4% |
| 71275 | CT angiography of the chest | $211.23 | 75.3% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $31.82 | 80.1% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $26.49 | 80.1% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $32.35 | 80.1% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $42.67 | 79.8% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $105.17 | 80.5% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $104.64 | 80.5% |
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
- Idaho physician fee schedule · 6,717 codes
- Idaho dme & supplies fee schedule · 2,014 codes
- Idaho drugs fee schedule · 876 codes
- Idaho other services fee schedule · 394 codes
- Idaho vision fee schedule · 146 codes
- Idaho hearing fee schedule · 30 codes
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.
Get an email the next time Idaho changes these rates.