The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New York lab & imaging schedule has 627 codes.
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Published codes
627
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
95.7%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what New York Medicaid pays
A curated sample of recognizable procedures from the 627-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 York rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $39.83 | 92.4% |
| 70140 | Facial bone X-ray, under 3 views | $29.26 | 92.2% |
| 70160 | Nasal bone X-ray | $34.81 | 93% |
| 70220 | Sinus X-ray, 3 or more views | $34.39 | 91.1% |
| 70360 | Neck soft tissue X-ray | $28.66 | 92.3% |
| 70450 | CT scan of the head without contrast | $127.28 | 119.5% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $204.21 | 129% |
| 70486 | CT scan of the face and sinuses without contrast | $198.49 | 154.8% |
| 70491 | CT scan of neck soft tissue with contrast | $200.39 | 109.3% |
| 70551 | MRI of the brain without contrast | $334.43 | 171.2% |
| 70553 | MRI of the brain without then with contrast | $514.84 | 162.4% |
| 71045 | Chest X-ray, 1 view | $23.46 | 92.4% |
| 71046 | Chest X-ray, 2 views | $30.42 | 92% |
| 71047 | Chest X-ray, 3 views | $38.26 | 93.1% |
| 71048 | Chest X-ray, 4 or more views | $41.85 | 92.8% |
| 71100 | Rib X-ray, one side | $33.47 | 92.8% |
| 71250 | CT scan of the chest without contrast | $199.30 | 150.3% |
| 71260 | CT scan of the chest with contrast | $201.45 | 120.9% |
| 71275 | CT angiography of the chest | $340.21 | 121.3% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $35.92 | 90.4% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $29.85 | 90.3% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $36.23 | 89.7% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $46.54 | 87.1% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $199.30 | 152.6% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $199.30 | 153.4% |
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 York Medicaid fee schedules
- New York physician fee schedule · 6,167 codes
- New York dme & supplies fee schedule · 1,599 codes
- New York vision fee schedule · 99 codes
- New York other services fee schedule · 37 codes
- New York hearing fee schedule · 22 codes
- New York transport fee schedule · 20 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does New York Medicaid pay for laboratory tests and imaging?
New York Medicaid publishes 627 lab & imaging procedure rates effective 2026, paying a median 95.7% 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 York's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, New York Medicaid pays a median 95.7% 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 York?
New York 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 York'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 York changes these rates.