The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Utah lab & imaging schedule has 1,885 codes.
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Published codes
1,885
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
99.7%
vs national Medicare, GPCI-neutral
PA required
109
codes flagged by the state
Common lab & imaging procedures and what Utah Medicaid pays
A curated sample of recognizable procedures from the 1,885-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 | Utah rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $40.10* | 93.1% |
| 70140 | Facial bone X-ray, under 3 views | $29.55* | 93.1% |
| 70160 | Nasal bone X-ray | $34.73* | 92.8% |
| 70220 | Sinus X-ray, 3 or more views | $35.12* | 93.1% |
| 70360 | Neck soft tissue X-ray | $28.91* | 93.1% |
| 70450 | CT scan of the head without contrast | $99.60* | 93.5% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $148.03* | 93.5% |
| 70486 | CT scan of the face and sinuses without contrast | $119.58* | 93.2% |
| 70491 | CT scan of neck soft tissue with contrast | $171.28* | 93.4% |
| 70551 | MRI of the brain without contrast | $182.51* | 93.4% |
| 70553 | MRI of the brain without then with contrast | $295.86* | 93.3% |
| 71045 | Chest X-ray, 1 view | $23.69* | 93.3% |
| 71046 | Chest X-ray, 2 views | $30.82* | 93.2% |
| 71047 | Chest X-ray, 3 views | $38.29* | 93.2% |
| 71048 | Chest X-ray, 4 or more views | $42.04* | 93.2% |
| 71100 | Rib X-ray, one side | $33.58* | 93.1% |
| 71250 | CT scan of the chest without contrast | $123.99* | 93.5% |
| 71260 | CT scan of the chest with contrast | $155.48* | 93.3% |
| 71275 | CT angiography of the chest | $261.48* | 93.2% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $36.96* | 93% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $30.80* | 93.1% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $37.58* | 93% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $49.63* | 92.9% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $122.01* | 93.4% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $121.40* | 93.4% |
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 Utah Medicaid fee schedules
- Utah physician fee schedule · 6,362 codes
- Utah dme & supplies fee schedule · 1,646 codes
- Utah drugs fee schedule · 739 codes
- Utah other services fee schedule · 626 codes
- Utah vision fee schedule · 122 codes
- Utah behavioral health fee schedule · 53 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Utah Medicaid pay for laboratory tests and imaging?
Utah Medicaid publishes 1,885 lab & imaging procedure rates effective 2026, paying a median 99.7% 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 Utah's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Utah Medicaid pays a median 99.7% 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 Utah?
Utah publishes prior-authorization flags on its schedule: 109 lab & imaging codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Utah'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 Utah changes these rates.