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See a sample rate comparisonCPT 78016 Fee Schedule
CPT 78016 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan For Thyroid Cancer Spread, A Radioactive Substance Is Given By Mouth Or Iv. This Enhances Thyroid Tissue Cancer Cells Wherever They Are In The Body So That They May Be Detected More Easily. A Limited Area Or The Entire Body May Be Scanned.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78016 |
| Medicaid Fee Schedule | $208.35 median of the 8 states in the free preview · View Medicaid rates for 78016 |
National average reimbursement for CPT 78016 by major payers:
$309.90
BCBS / Anthem
$319.43
UnitedHealthcare
$305.22
Aetna
$382.13
Cigna
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CPT 78016
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$764.48Published rateMary Allare
Northern Arizona Healthcare Corporation
$507.58Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$382.71Published ratePhyllis Moore
Radiology Associates Of North Texas, PA
$87.51Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$41.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78016 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78016. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78012-CPT | Low | Thyroid Gland Study, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Thyroid Gland Function On A Scan. The Study May Examine Absorption Hormone Production And Secretion. |
| 78013-CPT | Moderate | Scan Of Thyroid Gland, The Thyroid Gland Is Scanned In Order To Evaluate How Well It Is Working Or How Blood Is Moving Through It. A Radioactive Substance Is Given So That The Gland May Be Viewed More Easily. |
| 78014-CPT | Moderate | Thyroid Imaging W Blood Flow, Thyroid Imaging Including Vascular Flow When Performed With Single Or Multiple Uptake S Quantitative Measurement S Including Stimulation Suppression Or Discharge When Performed |
| 78016-CPT | Moderate | Scan For Thyroid Cancer Spread, A Radioactive Substance Is Given By Mouth Or Iv. This Enhances Thyroid Tissue Cancer Cells Wherever They Are In The Body So That They May Be Detected More Easily. A Limited Area Or The Entire Body May Be Scanned. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78016 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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