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CPT 78015 Fee Schedule

Last Verified: February 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Thyroid Carcinoma Metastas.Imag;Ltd
Key FactDetail
Service Type

Radiology Procedures

Nuclear Medicine Procedures

Common Place of Service

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

26 - Professional component

59 - Distinct Procedural Service

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 78015

National average reimbursement for CPT 78015 by major payers:

bcbs

$260.69

uhc

$246.20

aetna

$243.75

cigna

$311.35

Preview provider-level rates for...
For billing codeCPT 78015
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 78015

United
78015$28.821508936592 - ALI ALAVI742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONCAUrology Physician (208800000X)
United
78015$494.451639123870 - MITA MAJMUNDAR751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PAILDiagnostic Radiology Physician (2085R0202X)
United
78015$334.791083820666 - RYAN PETERSON742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZCertified Registered Nurse Anesthetist (367500000X)
United
78015$334.791114397957 - AMY TAYLOR742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZAcute Care Nurse Practitioner (363LA2100X)
United
78015$28.821194757427 - ROBERT TIBALLI742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONTNHospitalist Physician (208M00000X)
United
78015$46.821255478004 - CHRISTOPHER RAIO112050523 - ST FRANCIS HOSPITALNYEmergency Medicine Physician (207P00000X)
United
78015$278.291255478004 - CHRISTOPHER RAIO112050523 - ST FRANCIS HOSPITALNYEmergency Medicine Physician (207P00000X)
United
78015$494.451164428249 - DOUGLAS WRIGHT751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXDiagnostic Radiology Physician (2085R0202X)
United
78015$266.511255478004 - CHRISTOPHER RAIO111635088 - MERCY MEDICAL CENTERNYEmergency Medicine Physician (207P00000X)
United
78015$83.911699201509 - SERENA JEN751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXDiagnostic Radiology Physician (2085R0202X)
United
78015$578.361538576483 - RAKESH AHUJA751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXVascular & Interventional Radiology Physician (2085R0204X)
United
78015$334.791184912867 - NICOLAUS HAWBAKER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZEmergency Medicine Physician (207P00000X)
United
78015$494.451700812815 - MICHAEL PENNEY751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXDiagnostic Radiology Physician (2085R0202X)
United
78015$57.001518645563 - DANIELLE SWEETS742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZOccupational Therapist (225X00000X)
United
78015$494.451063613735 - BRADLEY HAMMETT751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXDiagnostic Radiology Physician (2085R0202X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 78015 vs. Other Nuclear Medicine Procedures Codes

The CPT 78015 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 78015 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
78012-CPTLowThyroid Uptake, Single Or Multiple Quantitative Measurement(S) (Including Stimulation, Suppression, Or Discharge, When Performed)
78013-CPTModerateThyroid Imaging (Including Vascular Flow, When Performed);
78014-CPTModerateThyroid Imaging (Including Vascular Flow When Performed); With Single Or Multiple Uptake(S) Quantitative Measurement(S) (Including Stimula- Tion Suppression Or Discharge When Performed)
78015-CPTModerateThyroid Carcinoma Metastas.Imag;Ltd

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 78015 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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