The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full North Carolina lab & imaging schedule has 1,935 codes.
- Every code on all 51 published schedules
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Published codes
1,935
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
100.3%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what North Carolina Medicaid pays
A curated sample of recognizable procedures from the 1,935-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 | North Carolina rate | % of Medicare |
|---|---|---|---|
| 70100 | Jaw (mandible) X-ray, up to 3 views | $23.37 | 57.8% |
| 70110 | Jaw (mandible) X-ray, 4 or more views | $30.34 | 70.4% |
| 70140 | Facial bone X-ray, under 3 views | $22.93 | 72.3% |
| 70150 | Facial bone X-ray, complete, 3 or more views | $32.80 | 70.1% |
| 70160 | Nasal bone X-ray | $24.46 | 65.4% |
| 70200 | Eye socket X-ray, complete, 4 or more views | $33.96 | 72.6% |
| 70210 | Sinus X-ray, up to 2 views | $22.89 | 70.6% |
| 70220 | Sinus X-ray, 3 or more views | $29.97 | 79.4% |
| 70250 | Skull X-ray, up to 3 views | $27.80 | 77.8% |
| 70328 | Jaw joint (TMJ) X-ray, one side | $22.80 | 66.9% |
| 70330 | Jaw joint (TMJ) X-ray, both sides | $36.10 | 67.6% |
| 70360 | Neck soft tissue X-ray | $20.83 | 67.1% |
| 70450 | CT scan of the head without contrast | $168.92 | 158.5% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $257.27 | 162.5% |
| 70486 | CT scan of the face and sinuses without contrast | $217.59 | 169.6% |
| 70491 | CT scan of neck soft tissue with contrast | $258.74 | 141.1% |
| 70551 | MRI of the brain without contrast | $439.57 | 225% |
| 70553 | MRI of the brain without then with contrast | $654.29 | 206.4% |
| 71045 | Chest X-ray, 1 view | $16.24 | 64% |
| 71046 | Chest X-ray, 2 views | $24.94 | 75.4% |
| 71047 | Chest X-ray, 3 views | $31.93 | 77.7% |
| 71048 | Chest X-ray, 4 or more views | $34.29 | 76% |
| 71100 | Rib X-ray, one side | $25.24 | 70% |
| 71101 | Rib X-ray, one side, with chest view | $30.38 | 72.8% |
| 71110 | Rib X-ray, both sides, 3 views | $31.42 | 73.5% |
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.
This table is the common-procedure sample. Every North Carolina lab & imaging code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More North Carolina Medicaid fee schedules
- North Carolina fee schedule overview
- North Carolina physician fee schedule · 6,547 codes
- North Carolina dme & supplies fee schedule · 1,051 codes
- North Carolina drugs fee schedule · 369 codes
- North Carolina other services fee schedule · 91 codes
- North Carolina vision fee schedule · 47 codes
- North Carolina behavioral health fee schedule · 24 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does North Carolina Medicaid pay for laboratory tests and imaging?
North Carolina Medicaid publishes 1,935 lab & imaging procedure rates effective 2026, paying a median 100.3% 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 North Carolina's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, North Carolina Medicaid pays a median 100.3% 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 North Carolina?
North Carolina does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from North Carolina'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.