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 comparisonCPT 78230 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.
Scan Of Saliva Gland Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Saliva Glands On A Scan So That Their Function May Be Viewed More Easily. Multiple Images May Be Taken.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78230 |
| Medicaid Fee Schedule | View Medicaid rates for 78230 |
National average reimbursement for CPT 78230 by major payers:
$204.59
$189.42
$184.64
$234.32
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78230.
CPT 78230
5 of 25 sample ratesHigher to lower in this preview
Tony Alias
Radiology Associates Of North Texas, PA
$370.83Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$239.42Published rateTracy Maceachern
Northern Arizona Healthcare Corporation
$153.08Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$118.66Published rateTiffany Witek
Northern Arizona Healthcare Corporation
$19.31Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 78230 vs. Other Nuclear Medicine Procedures Codes
The CPT 78230 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 78230 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 |
|---|---|---|
| 78230-CPT | Moderate | Scan Of Saliva Gland Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Saliva Glands On A Scan So That Their Function May Be Viewed More Easily. Multiple Images May Be Taken. |
| 78231-CPT | Low | Scan Of Saliva Gland Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Saliva Glands On A Scan So That Their Function May Be Viewed More Easily. Multiple Images May Be Taken. |
| 78232-CPT | Low | Scan Of Saliva Gland Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Saliva Fluid On A Scan So That It May Be Viewed As It Flows From The Mouth To The Stomach. |
| 78261-CPT | Moderate | Scan Of Stomach Lining, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Stomach Lining On A Scan So That It May Be Viewed More Easily. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78230 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 78230) and we'll show you how you compare in 15 minutes or less.