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See a sample rate comparisonCPT 78305 Fee Schedule
Medicare rates as of October 2026
CPT 78305 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also 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 TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $242.83 national non-facility rate (2026) · View Medicare rates for 78305 |
| Medicaid Fee Schedule | $200.25 median of the 8 states in the free preview · View Medicaid rates for 78305 |
National average reimbursement for CPT 78305 by major payers:
$298.83
BCBS / Anthem
$293.59
UnitedHealthcare
$287.88
Aetna
$359.62
Cigna
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CPT 78305
5 of 25 sample ratesHigher to lower in this preview
Hmh Hospitals Corporation, Riverview Medical Center
Hackensack Meridian Health Inc
$942.79Published rateSt Francis Medical Center, Inc
St Francis Medical Center Inc
$848.52Published rateShenandoah Medical Center
$509.10Published rateBanner
$342.61Published rateWentzville Imaging Center, LLC
Wentzville Imaging Center LLC
$41.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78305 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78305. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78300-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78305-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78306-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78315-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78305 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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