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 78456 Fee Schedule
Medicare rates as of October 2026
CPT 78456 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily.
| 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 | Moderate |
| Medicare Fee Schedule | $284.24 national non-facility rate (2026) · View Medicare rates for 78456 |
| Medicaid Fee Schedule | $230.20 median of the 8 states in the free preview · View Medicaid rates for 78456 |
National average reimbursement for CPT 78456 by major payers:
$352.55
BCBS / Anthem
$358.46
UnitedHealthcare
$329.11
Aetna
$433.59
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78456.
CPT 78456
5 of 25 sample ratesHigher to lower in this preview
Emily Jensen
Radiology Associates Of North Texas, PA
$830.09Published rateBrian Launius
Northern Arizona Healthcare Corporation
$569.40Published rateClaudia Camacho
Northern Arizona Healthcare Corporation
$228.53Published rateChristopher O'Neill
Northern Arizona Healthcare Corporation
$90.00Published 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
$32.77Published 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 78456 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78456. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78454-CPT | Moderate | Ht Musc Image Planar Mult, Myocardial Perfusion Imaging Planar Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection |
| 78456-CPT | Moderate | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily. |
| 78457-CPT | Low | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can Be Viewed More Easily. |
| 78458-CPT | Moderate | Scan Of Vein For Blood Clot, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan Of The Vein So That Any Clots That Exist Can 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 78456. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78456 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 78456) and we'll show you how you compare in 15 minutes or less.