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See a sample rate comparisonCPT 78020 Fee Schedule
Last Verified: September 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.
Uptake Scan For Thyroid Cells, After Surgery To Remove The Thyroid Gland A Radioactive Substance Is Given By Mouth Or Iv. Any Thyroid Tissue That Has Spread To Other Locations In The Body Will Absorb The Material And Be Visible On A Scan.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78020 |
| Medicaid Fee Schedule | View Medicaid rates for 78020 |
National average reimbursement for CPT 78020 by major payers:
$99.43
$97.95
$96.59
$117.29
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CPT 78020
5 of 25 sample ratesHigher to lower in this preview
Texas Radiology Associates LLP
Texas Radiology Associates, LLP
$164.33Published rateBig Spring Vamc
$78.33Published rateJones County Regional Healthcare System, Stamford Memorial Hospital
Jones County Regional Healthcare System
$75.69Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$44.81Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$24.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78020 vs. Other Nuclear Medicine Procedures Codes
The CPT 78020 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 78020 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.
| 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 |
| 78020-CPT | Low | Uptake Scan For Thyroid Cells, After Surgery To Remove The Thyroid Gland A Radioactive Substance Is Given By Mouth Or Iv. Any Thyroid Tissue That Has Spread To Other Locations In The Body Will Absorb The Material And Be Visible On A Scan. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78020 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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