Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| 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 MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78072 |
| Medicaid Fee Schedule | View Medicaid rates for 78072 |
National average reimbursement for CPT 78072 by major payers:

$466.31

$494.21

$517.48

$624.45
Choose a payer to see a sample of rates for CPT 78072.
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
Town Center Orthopaedic Associates, P.C.
Northern Arizona Healthcare Corporation
Good Samaritan Hosptial Medical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 78072 vs. Other Nuclear Medicine Procedures Codes
The CPT 78072 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 78072 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 |
|---|---|---|
| 78070-CPT | Moderate | Scan Of Parathyroid Gland, A Scan Of The Parathyroid Glands Uses A Radioactive Substance To Highlight The Tissues. These Glands Sit On Top Of The Thyroid Gland In The Neck. |
| 78071-CPT | Moderate | Scan Of Parathyroid Glands, A 3-D Image Is Taken Of The Parathyroid Glands Using Spect (Special Photon Emission Computed Tomography). A Ct Scan May Be Taken To Improve Viewing. |
| 78072-CPT | Moderate | Parathyroid Planar Imaging (In, Parathyroid Planar Imaging (Including Subtractionwhen Performed) With Tomographic (Spect) And Co Ncurrently Acquired Computed Tomography (Ct) For Anatomical Localization |
| 78075-CPT | Moderate | Adrenal Imag;Cortex/Medulla |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78072 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.
Bring your top codes (like CPT 78072) and we'll show you how you compare in 15 minutes or less.