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CPT 78600 Fee Schedule

Last Verified: December 2025

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.

Brain Imaging,Limited Procedure; Static
Key FactDetail
Service Type

Radiology Procedures

Nuclear Medicine Procedures

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

11 - Office

Common Modifiers

None

26 - Professional component

MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional

Complexity LevelModerate

National average reimbursement for CPT 78600 by major payers:

bcbs

$216.31

uhc

$206.46

aetna

$201.37

cigna

$255.99

Preview provider-level rates for...
For billing codeCPT 78600
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 78600

United
78600$161.361336120260 - GARY GRIDLEY742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZAnesthesiology Physician (207L00000X)
United
78600$19.031881190403 - JEROME ROGICH742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONCAEmergency Medicine Physician (207P00000X)
United
78600$161.361295717908 - KATHLEEN SIMMONDS742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZCertified Registered Nurse Anesthetist (367500000X)
United
78600$19.031992003875 - DARLA TALBOTT742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONOHNurse Practitioner (363L00000X)
United
78600$245.381578559563 - JEFFREY FERNLEY742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONMDAnesthesiology Physician (207L00000X)
United
78600$245.381861419756 - KELLY GAPPA742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONMECertified Registered Nurse Anesthetist (367500000X)
United
78600$142.331588661094 - JUAN ESCOBAR742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONFLInterventional Cardiology Physician (207RI0011X)
United
78600$37.791205822665 - DANIEL BLAKE742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONNVAnesthesiology Physician (207L00000X)
United
78600$142.331346650942 - JACK SHORT742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZCritical Care Medicine (Internal Medicine) Physician (207RC0200X)
United
78600$161.361699727784 - JEREMY PAYNE742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZNeurology Physician (2084N0400X)
United
78600$429.481396011771 - JUSTIN BECKER751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXDiagnostic Radiology Physician (2085R0202X)
United
78600$57.741720442890 - TONY ALIAS751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PAVADiagnostic Radiology Physician (2085R0202X)
United
78600$245.381831455401 - KYLE MURRAY742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZEmergency Medicine Physician (207P00000X)
United
78600$37.791215706767 - PATRICK KINSELLA742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZCritical Care Medicine Registered Nurse (163WC0200X)
United
78600$161.361982969846 - PAUL LANIER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONCAOrthopaedic Surgery Physician (207X00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 78600 vs. Other Nuclear Medicine Procedures Codes

The CPT 78600 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 78600 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.

CodeComplexityDescription
78600-CPTModerateBrain Imaging,Limited Procedure; Static
78601-CPTModerateBrain Imag,Limited; W/Vascular Flow
78605-CPTModerateBrain Imaging, Complete Study; Static
78606-CPTModerateBrain Imaging,Cmplt;W/Vascular Flow

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 78600 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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