CMS October 2026Physician Fee Schedule · Free lookup

CPT 78452 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 78452 is $427.87 in a non-facility setting ($427.87 in a facility), up 493.2% from $72.13 in 2025.

National rate, October 2026

Non-facility: $427.87
Facility: $427.87
vs. 2025: +493.2%
Commercial national avg.: $594.82

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HCPCS Codes

78452

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Year

20262025

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Up to 5 codes · 4 remaining

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Physician Fee Schedule·78452·National·2026, 2025

Current non-facility rate

$427.87▼78.9%

Facility: $427.87

Recent trend

Code description

Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection

Code	Date	State	Non-Facility Fee	Facility Fee	Description
78452	10/2026	N/A	$427.87	$427.87	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	10/2026	N/A	$353.38	$353.38	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	10/2026	N/A	$74.48	$74.48	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2026	N/A	$74.48	$74.48	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2026	N/A	$427.87	$427.87	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2026	N/A	$353.38	$353.38	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2026	N/A	$353.38	$353.38	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2026	N/A	$427.87	$427.87	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2026	N/A	$74.48	$74.48	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2026	N/A	$74.48	$74.48	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2026	N/A	$353.38	$353.38	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2026	N/A	$427.87	$427.87	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	10/2025	N/A	$72.13	$72.13	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	10/2025	N/A	$408.86	$408.86	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	10/2025	N/A	$336.73	$336.73	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2025	N/A	$72.13	$72.13	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2025	N/A	$408.86	$408.86	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	7/2025	N/A	$336.73	$336.73	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2025	N/A	$408.86	$408.86	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2025	N/A	$336.73	$336.73	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	4/2025	N/A	$72.13	$72.13	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2025	N/A	$72.13	$72.13	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2025	N/A	$336.73	$336.73	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection
78452	1/2025	N/A	$408.86	$408.86	Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection

78452 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS file	Non-facility	Facility	Change
October 2026	$427.87	$427.87	+493.2%
October 2025	$72.13	$72.13	-2.8%
March 2024	$74.23	$74.23	-79.8%
January 2023	$368.35	$368.35	-4.7%
July 2022	$386.55	$386.55	-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

78452: Medicare vs. commercial national average

The commercial national average for 78452, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $594.82, 139% of Medicare's $427.87.

BCBS $538.29
UnitedHealthcare $595.68
Aetna $573.94
Cigna $671.35

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 78452 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

See commercial rates in your market Commercial rates for 78452

Nearby codes

78431 Medicare rate 78434 Medicare rate

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Medicaid comparison

See what state Medicaid programs pay for 78452

50 state Medicaid agencies publish their own physician fee schedule. The 78452 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.

See Medicaid rates for 78452

$63.13

78453Ht Muscle Image Planar Sing, Myocardial Perfusion Imaging Planar Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Single Study At Rest Or Stress Exercise Or Pharmacologic

$262.87

78454Ht Musc Image Planar Mult, Myocardial Perfusion Imaging Planar Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection

$61.12

Methodology

Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.

View CMS Physician Fee Schedule