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See a sample rate comparisonCPT 78231 Fee Schedule
Medicare rates as of October 2026
CPT 78231 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
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 11 - Office |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $104.88 national non-facility rate (2026) · View Medicare rates for 78231 |
| Medicaid Fee Schedule | $86.895 median of the 8 states in the free preview · View Medicaid rates for 78231 |
National average reimbursement for CPT 78231 by major payers:
$135.83
BCBS / Anthem
$138.52
UnitedHealthcare
$130.19
Aetna
$164.74
Cigna
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CPT 78231
5 of 25 sample ratesHigher to lower in this preview
Richard Murray
Radiology Associates Of North Texas, PA
$341.95Published rateJessica Fletcher
Northern Arizona Healthcare Corporation
$176.38Published rateChristopher Raio
Mercy Medical Center
$130.43Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$52.25Published rateHannah Fox
Northern Arizona Healthcare Corporation
$19.02Published rate
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See a sample payer proposalCPT 78231 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78231. Select one to see its fee schedule.
| 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 78231. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78231 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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