The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Kentucky lab & imaging schedule has 2,645 codes.
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Published codes
2,645
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
100%
vs national Medicare, GPCI-neutral
PA required
111
codes flagged by the state
Common lab & imaging procedures and what Kentucky Medicaid pays
A curated sample of recognizable procedures from the 2,645-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 | Kentucky rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $27.84 | 64.6% |
| 70140 | Facial bone X-ray, under 3 views | $25.03 | 78.9% |
| 70160 | Nasal bone X-ray | $21.52 | 57.5% |
| 70220 | Sinus X-ray, 3 or more views | $32.37 | 85.8% |
| 70360 | Neck soft tissue X-ray | $18.83 | 60.6% |
| 70450 | CT scan of the head without contrast | $164.34 | 154.2% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $182.78 | 115.4% |
| 70486 | CT scan of the face and sinuses without contrast | $176.55 | 137.7% |
| 70491 | CT scan of neck soft tissue with contrast | $212.12 | 115.7% |
| 70551 | MRI of the brain without contrast | $366.30 | 187.5% |
| 70553 | MRI of the brain without then with contrast | $774.25 | 244.3% |
| 71045 | Chest X-ray, 1 view | $15.09 | 59.5% |
| 71046 | Chest X-ray, 2 views | $23.03 | 69.6% |
| 71047 | Chest X-ray, 3 views | $29.44 | 71.7% |
| 71048 | Chest X-ray, 4 or more views | $31.64 | 70.2% |
| 71100 | Rib X-ray, one side | $25.08 | 69.5% |
| 71250 | CT scan of the chest without contrast | $209.42 | 157.9% |
| 71260 | CT scan of the chest with contrast | $244.31 | 146.6% |
| 71275 | CT angiography of the chest | $282.81 | 100.8% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $25.64 | 64.5% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $26.98 | 81.6% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $27.52 | 68.1% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $38.13 | 71.4% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $209.42 | 160.4% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $209.42 | 161.2% |
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 Kentucky Medicaid fee schedules
- Kentucky physician fee schedule · 7,029 codes
- Kentucky dme & supplies fee schedule · 1,815 codes
- Kentucky other services fee schedule · 524 codes
- Kentucky drugs fee schedule · 505 codes
- Kentucky vision fee schedule · 152 codes
- Kentucky behavioral health fee schedule · 48 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Kentucky Medicaid pay for laboratory tests and imaging?
Kentucky Medicaid publishes 2,645 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 Kentucky's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Kentucky 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 Kentucky?
Kentucky publishes prior-authorization flags on its schedule: 111 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 Kentucky'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 Kentucky changes these rates.