The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Texas lab & imaging schedule has 2,128 codes.
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Published codes
2,128
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
137%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what Texas Medicaid pays
A curated sample of recognizable procedures from the 2,128-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 | Texas rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $35.02* | 81.3% |
| 70140 | Facial bone X-ray, under 3 views | $25.66* | 80.9% |
| 70160 | Nasal bone X-ray | $30.21* | 80.8% |
| 70220 | Sinus X-ray, 3 or more views | $30.21* | 80% |
| 70360 | Neck soft tissue X-ray | $25.13* | 80.9% |
| 70450 | CT scan of the head without contrast | $87.14* | 81.8% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $130.71* | 82.6% |
| 70486 | CT scan of the face and sinuses without contrast | $105.32* | 82.1% |
| 70491 | CT scan of neck soft tissue with contrast | $151.56* | 82.7% |
| 70551 | MRI of the brain without contrast | $161.72* | 82.8% |
| 70553 | MRI of the brain without then with contrast | $262.49* | 82.8% |
| 71045 | Chest X-ray, 1 view | $20.58* | 81.1% |
| 71046 | Chest X-ray, 2 views | $27.00* | 81.6% |
| 71047 | Chest X-ray, 3 views | $33.95* | 82.6% |
| 71048 | Chest X-ray, 4 or more views | $36.62* | 81.2% |
| 71100 | Rib X-ray, one side | $29.40* | 81.5% |
| 71250 | CT scan of the chest without contrast | $109.33* | 82.5% |
| 71260 | CT scan of the chest with contrast | $137.39* | 82.4% |
| 71275 | CT angiography of the chest | $231.49* | 82.5% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $31.81* | 80% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $26.46* | 80% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $32.08* | 79.4% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $41.70* | 78% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $106.92* | 81.9% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $106.12* | 81.7% |
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 Texas Medicaid fee schedules
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Lab & Imaging rates in neighboring states
Frequently asked questions
What does Texas Medicaid pay for laboratory tests and imaging?
Texas Medicaid publishes 2,128 lab & imaging procedure rates effective 2026, paying a median 137% 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 Texas's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Texas Medicaid pays a median 137% 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 Texas?
Texas 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 Texas'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 Texas changes these rates.