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See a sample rate comparisonCPT 78202 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
| 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 | $192.06 national non-facility rate (2026) · View Medicare rates for 78202 |
| Medicaid Fee Schedule | $154.915 median of the 8 states in the free preview · View Medicaid rates for 78202 |
National average reimbursement for CPT 78202 by major payers:

$240.68
BCBS / Anthem

$229.14
UnitedHealthcare

$224.30
Aetna

$282.06
Cigna
Choose a payer to see a sample of rates for CPT 78202.
Health Imaging Partners LLC
Jack Short
Northern Arizona Healthcare Corporation
Andrzej Kudelka
Northern Arizona Healthcare Corporation
Molly Mcintosh
Baycare Medical Group Inc
Baycare Home Care, Inc.
Baycare Home Care Inc
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 78202 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78202. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78201-CPT | Moderate | Scan Of Liver, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Liver Tissue On A Scan So That It May Be Viewed More Easily. Blood Flow Through The Organ May Also Be Viewed. |
| 78202-CPT | Moderate | Scan Of Liver, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Liver Tissue On A Scan So That It May Be Viewed More Easily. Blood Flow Through The Organ May Also Be Viewed. |
| 78215-CPT | Moderate | Scan Of Liver And Spleen, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Liver And Spleen On A Scan So That Their Function Is Viewed More Easily. Blood Flow Through The Organs May Be Viewed. |
| 78226-CPT | Moderate | Scan Of Bile System, A Scan Of The Bile Ducts Including The Liver And Gall Bladder. Medication May Be Given During The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78202 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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