Missouri Medicaid Lab & Imaging Fee Schedule 2026

Missouri Medicaid publishes 2,806 lab & imaging procedure rates effective 2026, paying a median 90% 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.

The Rates plan

$29/mo7-day free trial

The table on this page is a common-procedure sample. The full Missouri lab & imaging schedule has 2,806 codes.

  • Every code on all 51 published schedules
  • Full-schedule CSV export
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
Start 7-day free trial

$29/mo after the trial. Cancel anytime.

Published codes

2,806

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

90%

vs national Medicare, GPCI-neutral

PA required

629

+35 conditional or varies

Common lab & imaging procedures and what Missouri Medicaid pays

A curated sample of recognizable procedures from the 2,806-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.

CodeProcedureMissouri rate% of Medicare
70110Jaw (mandible) X-ray, 4 or more views$28.6266.4%
70140Facial bone X-ray, under 3 views$21.5667.9%
70160Nasal bone X-ray$25.3067.6%
70220Sinus X-ray, 3 or more views$28.2174.7%
70360Neck soft tissue X-ray$19.9164.1%
70450CT scan of the head without contrast$136.59128.2%
70480CT scan of the eye socket or inner ear without contrast$136.5986.3%
70486CT scan of the face and sinuses without contrast$136.59106.5%
70491CT scan of neck soft tissue with contrast$216.28117.9%
70551MRI of the brain without contrast$244.56125.2%
70553MRI of the brain without then with contrast$378.51119.4%
71045Chest X-ray, 1 view$14.0655.4%
71046Chest X-ray, 2 views$21.5365.1%
71047Chest X-ray, 3 views$27.5367%
71048Chest X-ray, 4 or more views$29.5365.5%
71100Rib X-ray, one side$22.8263.3%
71250CT scan of the chest without contrast$136.59103%
71260CT scan of the chest with contrast$216.28129.8%
71275CT angiography of the chest$247.2488.1%
72040Neck (cervical) spine X-ray, 2-3 views$27.3768.9%
72070Mid-back (thoracic) spine X-ray, 2 views$24.0672.8%
72100Lower back (lumbar) spine X-ray, 2-3 views$29.4572.9%
72110Lower back (lumbar) spine X-ray, 4 or more views$41.0776.9%
72125CT scan of the neck (cervical) spine without contrast$136.59104.6%
72131CT scan of the lower (lumbar) spine without contrast$136.59105.1%

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 Missouri Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Missouri Medicaid pay for laboratory tests and imaging?

Missouri Medicaid publishes 2,806 lab & imaging procedure rates effective 2026, paying a median 90% 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 Missouri's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Missouri Medicaid pays a median 90% 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 Missouri?

Missouri publishes prior-authorization flags on its schedule: 629 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 Missouri'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 Missouri changes these rates.