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See a sample rate comparisonCPT 78709 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
| 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 | $326.33 national non-facility rate (2026) · View Medicare rates for 78709 |
| Medicaid Fee Schedule | $268.845 median of the 8 states in the free preview · View Medicaid rates for 78709 |
National average reimbursement for CPT 78709 by major payers:

$403.71
BCBS / Anthem

$409.55
UnitedHealthcare

$428.05
Aetna

$498.51
Cigna
Choose a payer to see a sample of rates for CPT 78709.
Bosque County Hospital District, Goodall-Witcher Hospital
Qhg Of Enterprise Inc, Medical Center Enterprise
Qhg Of Enterprise Inc
Capital Health System Inc, Regional Medical Center
Capital Health System Inc
David Epstein
Watson Clinic LLP
Loudoun Imaging Center/Ashburn, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 78709 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78709. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78700-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78701-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78707-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78709-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78709. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78709 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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