Indiana Medicaid Lab & Imaging Fee Schedule 2026

Indiana Medicaid publishes 2,177 lab & imaging procedure rates effective 2026, paying a median 100% 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 Indiana lab & imaging schedule has 2,177 codes.

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Published codes

2,177

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

100%

vs national Medicare, GPCI-neutral

PA required

236

codes flagged by the state

Common lab & imaging procedures and what Indiana Medicaid pays

A curated sample of recognizable procedures from the 2,177-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.

CodeProcedureIndiana rate% of Medicare
70110Jaw (mandible) X-ray, 4 or more views$39.9092.6%
70140Facial bone X-ray, under 3 views$29.1892%
70160Nasal bone X-ray$34.2691.6%
70220Sinus X-ray, 3 or more views$34.3991.1%
70360Neck soft tissue X-ray$28.5591.9%
70450CT scan of the head without contrast$99.8893.7%
70480CT scan of the eye socket or inner ear without contrast$149.6194.5%
70486CT scan of the face and sinuses without contrast$120.4093.9%
70491CT scan of neck soft tissue with contrast$173.4194.6%
70551MRI of the brain without contrast$185.0094.7%
70553MRI of the brain without then with contrast$300.1794.7%
71045Chest X-ray, 1 view$23.4392.3%
71046Chest X-ray, 2 views$30.7793%
71047Chest X-ray, 3 views$38.7494.3%
71048Chest X-ray, 4 or more views$41.8792.9%
71100Rib X-ray, one side$33.4892.8%
71250CT scan of the chest without contrast$125.2394.4%
71260CT scan of the chest with contrast$157.0094.2%
71275CT angiography of the chest$264.2394.2%
72040Neck (cervical) spine X-ray, 2-3 views$36.2091.1%
72070Mid-back (thoracic) spine X-ray, 2 views$30.1191%
72100Lower back (lumbar) spine X-ray, 2-3 views$36.5090.3%
72110Lower back (lumbar) spine X-ray, 4 or more views$47.4788.8%
72125CT scan of the neck (cervical) spine without contrast$122.4693.8%
72131CT scan of the lower (lumbar) spine without contrast$121.5593.6%

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 Indiana Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Indiana Medicaid pay for laboratory tests and imaging?

Indiana Medicaid publishes 2,177 lab & imaging procedure rates effective 2026, paying a median 100% 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 Indiana's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Indiana Medicaid pays a median 100% 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 Indiana?

Indiana publishes prior-authorization flags on its schedule: 236 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 Indiana'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.

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