Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Wisconsin lab & imaging schedule has 2,101 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Published codes
2,101
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
100%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what Wisconsin Medicaid pays
A curated sample of recognizable procedures from the 2,101-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 | Wisconsin rate | % of Medicare |
|---|---|---|---|
| 70100 | Jaw (mandible) X-ray, up to 3 views | $29.26 | 72.4% |
| 70110 | Jaw (mandible) X-ray, 4 or more views | $37.16 | 86.2% |
| 70140 | Facial bone X-ray, under 3 views | $27.51 | 86.7% |
| 70150 | Facial bone X-ray, complete, 3 or more views | $39.65 | 84.8% |
| 70160 | Nasal bone X-ray | $29.42 | 78.6% |
| 70200 | Eye socket X-ray, complete, 4 or more views | $41.10 | 87.9% |
| 70210 | Sinus X-ray, up to 2 views | $28.19 | 87% |
| 70220 | Sinus X-ray, 3 or more views | $36.45 | 96.6% |
| 70250 | Skull X-ray, up to 3 views | $33.96 | 95% |
| 70328 | Jaw joint (TMJ) X-ray, one side | $28.20 | 82.8% |
| 70330 | Jaw joint (TMJ) X-ray, both sides | $44.23 | 82.8% |
| 70360 | Neck soft tissue X-ray | $25.70 | 82.7% |
| 70450 | CT scan of the head without contrast | $189.28 | 177.6% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $250.86 | 158.5% |
| 70486 | CT scan of the face and sinuses without contrast | $242.58 | 189.1% |
| 70491 | CT scan of neck soft tissue with contrast | $291.39 | 158.9% |
| 70551 | MRI of the brain without contrast | $409.98 | 209.8% |
| 70553 | MRI of the brain without then with contrast | $632.25 | 199.5% |
| 71045 | Chest X-ray, 1 view | $15.22 | 60% |
| 71046 | Chest X-ray, 2 views | $23.52 | 71.1% |
| 71047 | Chest X-ray, 3 views | $30.17 | 73.4% |
| 71048 | Chest X-ray, 4 or more views | $32.40 | 71.9% |
| 71100 | Rib X-ray, one side | $30.74 | 85.2% |
| 71101 | Rib X-ray, one side, with chest view | $36.83 | 88.2% |
| 71110 | Rib X-ray, both sides, 3 views | $37.90 | 88.7% |
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 Wisconsin Medicaid fee schedules
- Wisconsin Medicaid fee schedule 2026, all categories
- Wisconsin physician fee schedule · 6,678 codes
- Wisconsin dme & supplies fee schedule · 1,837 codes
- Wisconsin drugs fee schedule · 973 codes
- Wisconsin state-specific services fee schedule · 263 codes
- Wisconsin vision fee schedule · 144 codes
- Wisconsin hearing fee schedule · 47 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Wisconsin Medicaid pay for laboratory tests and imaging?
Wisconsin Medicaid publishes 2,101 lab & imaging procedure rates effective 2026, paying a median 100% 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 Wisconsin's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Wisconsin Medicaid pays a median 100% 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 Wisconsin?
Wisconsin 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 Wisconsin'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.