The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Jersey lab & imaging schedule has 2,234 codes.
- Every code on all 51 published schedules
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Published codes
2,234
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
80%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what New Jersey Medicaid pays
A curated sample of recognizable procedures from the 2,234-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 | New Jersey rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $22.16 | 51.4% |
| 70140 | Facial bone X-ray, under 3 views | $16.30 | 51.4% |
| 70160 | Nasal bone X-ray | $19.27 | 51.5% |
| 70220 | Sinus X-ray, 3 or more views | $19.41 | 51.4% |
| 70360 | Neck soft tissue X-ray | $15.97 | 51.4% |
| 70450 | CT scan of the head without contrast | $54.59 | 51.2% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $81.10 | 51.2% |
| 70486 | CT scan of the face and sinuses without contrast | $65.85 | 51.3% |
| 70491 | CT scan of neck soft tissue with contrast | $94.01 | 51.3% |
| 70551 | MRI of the brain without contrast | $100.18 | 51.3% |
| 70553 | MRI of the brain without then with contrast | $162.59 | 51.3% |
| 71045 | Chest X-ray, 1 view | $13.02 | 51.3% |
| 71046 | Chest X-ray, 2 views | $16.98 | 51.3% |
| 71047 | Chest X-ray, 3 views | $21.10 | 51.4% |
| 71048 | Chest X-ray, 4 or more views | $23.14 | 51.3% |
| 71100 | Rib X-ray, one side | $18.54 | 51.4% |
| 71250 | CT scan of the chest without contrast | $67.92 | 51.2% |
| 71260 | CT scan of the chest with contrast | $85.53 | 51.3% |
| 71275 | CT angiography of the chest | $134.90 | 48.1% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $20.45 | 51.4% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $16.99 | 51.4% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $20.79 | 51.4% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $27.52 | 51.5% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $66.94 | 51.3% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $66.59 | 51.3% |
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 New Jersey Medicaid fee schedules
- New Jersey physician fee schedule · 6,804 codes
- New Jersey dme & supplies fee schedule · 1,751 codes
- New Jersey drugs fee schedule · 953 codes
- New Jersey other services fee schedule · 209 codes
- New Jersey vision fee schedule · 136 codes
- New Jersey behavioral health fee schedule · 46 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does New Jersey Medicaid pay for laboratory tests and imaging?
New Jersey Medicaid publishes 2,234 lab & imaging procedure rates effective 2026, paying a median 80% 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 New Jersey's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, New Jersey Medicaid pays a median 80% 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 New Jersey?
New Jersey 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 New Jersey'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 New Jersey changes these rates.