The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Ohio lab & imaging schedule has 2,200 codes.
- Every code on all 51 published schedules
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Published codes
2,200
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
75%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what Ohio Medicaid pays
A curated sample of recognizable procedures from the 2,200-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 | Ohio rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $27.93 | 64.8% |
| 70140 | Facial bone X-ray, under 3 views | $25.34 | 79.9% |
| 70160 | Nasal bone X-ray | $21.70 | 58% |
| 70220 | Sinus X-ray, 3 or more views | $30.23 | 80.1% |
| 70360 | Neck soft tissue X-ray | $17.94 | 57.8% |
| 70450 | CT scan of the head without contrast | $100.97 | 94.8% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $157.00 | 99.2% |
| 70486 | CT scan of the face and sinuses without contrast | $118.49 | 92.4% |
| 70491 | CT scan of neck soft tissue with contrast | $198.99 | 108.5% |
| 70551 | MRI of the brain without contrast | $199.37 | 102% |
| 70553 | MRI of the brain without then with contrast | $319.74 | 100.9% |
| 71045 | Chest X-ray, 1 view | $14.98 | 59% |
| 71046 | Chest X-ray, 2 views | $22.86 | 69.1% |
| 71047 | Chest X-ray, 3 views | $29.20 | 71.1% |
| 71048 | Chest X-ray, 4 or more views | $31.37 | 69.6% |
| 71100 | Rib X-ray, one side | $24.66 | 68.4% |
| 71250 | CT scan of the chest without contrast | $131.22 | 99% |
| 71260 | CT scan of the chest with contrast | $163.96 | 98.4% |
| 71275 | CT angiography of the chest | $254.23 | 90.6% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $25.13 | 63.2% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $26.44 | 80% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $26.95 | 66.7% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $37.41 | 70% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $127.48 | 97.6% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $126.86 | 97.6% |
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 Ohio Medicaid fee schedules
- Ohio physician fee schedule · 6,547 codes
- Ohio dme & supplies fee schedule · 2,016 codes
- Ohio vision fee schedule · 163 codes
- Ohio other services fee schedule · 140 codes
- Ohio hearing fee schedule · 34 codes
- Ohio behavioral health fee schedule · 30 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Ohio Medicaid pay for laboratory tests and imaging?
Ohio Medicaid publishes 2,200 lab & imaging procedure rates effective 2026, paying a median 75% 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 Ohio's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Ohio Medicaid pays a median 75% 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 Ohio?
Ohio 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 Ohio'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 Ohio changes these rates.