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See a sample rate comparisonCPT 78306 Fee Schedule
Medicare rates as of October 2026
CPT 78306 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 | $259.19 national non-facility rate (2026) · View Medicare rates for 78306 |
| Medicaid Fee Schedule | $213.925 median of the 8 states in the free preview · View Medicaid rates for 78306 |
National average reimbursement for CPT 78306 by major payers:
$313.75
BCBS / Anthem
$320.07
UnitedHealthcare
$345.27
Aetna
$389.17
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78306.
CPT 78306
5 of 25 sample ratesHigher to lower in this preview
Christopher Glynn
$552.95Published rateKenneth Shain
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$342.60Published rateLaura Cozzitorto
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$291.22Published rateEdmondo Robinson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$59.13Published rateJennifer Strong
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$50.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78306 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78306. 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 78306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78306 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for accurate medical billing and processing of claims, ensuring consistent communication about services rendered.
Finding the exact cost of a medical procedure can be complex due to varying insurance plans, providers, and geographical locations. For an estimate specific to your CPT code and location, you can use tools like Payerprice. They offer a fee schedule lookup tool that allows you to search with a CPT code and specific location to get an idea of the costs. It's also advisable to contact your insurance provider and the healthcare facility directly for a personalized quote based on your specific coverage and benefits.
A fee schedule is a comprehensive list of fees used by health insurers to pay providers for medical services. It specifies the maximum amount that will be reimbursed for a particular medical service or procedure. These schedules can vary significantly between different payers (insurance companies), plans, and geographical regions. Understanding a fee schedule helps you anticipate the cost of medical care.
To compare prices for medical services, you should consider your specific CPT codes, location, and insurance plan. Websites and tools like Payerprice offer fee schedule lookup tools that allow you to search for specific CPT codes and locations, providing insight into what different payers might reimburse. You should also directly contact different healthcare providers and your insurance company to understand potential out-of-pocket costs and network discounts.
Billed charges are the prices that healthcare providers initially submit to your insurance company for services rendered. What you actually pay, your out-of-pocket cost, is typically much lower than the billed charge. This is because insurance companies negotiate discounted rates with providers (their fee schedule), and your payment will depend on your insurance plan's deductible, co-payment, and co-insurance. You only pay the portion not covered by your insurance, based on the negotiated rates.