The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full South Carolina lab & imaging schedule has 1,891 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
$29/mo after the trial. Cancel anytime.
Published codes
1,891
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
78%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what South Carolina Medicaid pays
A curated sample of recognizable procedures from the 1,891-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 | South Carolina rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $31.06 | 72.1% |
| 70140 | Facial bone X-ray, under 3 views | $22.76 | 71.7% |
| 70160 | Nasal bone X-ray | $26.68 | 71.3% |
| 70220 | Sinus X-ray, 3 or more views | $26.79 | 71% |
| 70360 | Neck soft tissue X-ray | $22.27 | 71.7% |
| 70450 | CT scan of the head without contrast | $77.79 | 73% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $116.66 | 73.7% |
| 70486 | CT scan of the face and sinuses without contrast | $93.65 | 73% |
| 70491 | CT scan of neck soft tissue with contrast | $135.07 | 73.7% |
| 70551 | MRI of the brain without contrast | $144.14 | 73.8% |
| 70553 | MRI of the brain without then with contrast | $233.73 | 73.7% |
| 71045 | Chest X-ray, 1 view | $18.31 | 72.1% |
| 71046 | Chest X-ray, 2 views | $23.99 | 72.5% |
| 71047 | Chest X-ray, 3 views | $30.17 | 73.4% |
| 71048 | Chest X-ray, 4 or more views | $32.59 | 72.3% |
| 71100 | Rib X-ray, one side | $26.09 | 72.3% |
| 71250 | CT scan of the chest without contrast | $97.61 | 73.6% |
| 71260 | CT scan of the chest with contrast | $122.25 | 73.3% |
| 71275 | CT angiography of the chest | $205.69 | 73.3% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $28.19 | 70.9% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $23.49 | 71% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $28.42 | 70.3% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $36.91 | 69.1% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $95.36 | 73% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $94.66 | 72.9% |
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 South Carolina Medicaid fee schedules
- South Carolina physician fee schedule · 6,584 codes
- South Carolina dme & supplies fee schedule · 1,486 codes
- South Carolina drugs fee schedule · 788 codes
- South Carolina other services fee schedule · 467 codes
- South Carolina anesthesia fee schedule · 273 codes
- South Carolina vision fee schedule · 113 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does South Carolina Medicaid pay for laboratory tests and imaging?
South Carolina Medicaid publishes 1,891 lab & imaging procedure rates effective 2026, paying a median 78% 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 South Carolina's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, South Carolina Medicaid pays a median 78% 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 South Carolina?
South 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 South 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.
Get an email the next time South Carolina changes these rates.