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See a sample rate comparisonCPT 78761 Fee Schedule
Last Verified: September 2026
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.
Scan Of The Testicles, A Radioactive Substance Is Given By Iv. A Scanner Is Used To View And Create Images Of One Or Both Testicles.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78761 |
| Medicaid Fee Schedule | View Medicaid rates for 78761 |
National average reimbursement for CPT 78761 by major payers:
$250.58
$239.90
$226.75
$290.68
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CPT 78761
5 of 25 sample ratesHigher to lower in this preview
Adam Johnson
Northern Arizona Healthcare Corporation
$335.39Published rateChristopher Mueller
Northern Arizona Healthcare Corporation
$335.39Published rateEmily Courtney
Town Center Orthopaedic Associates, P.C.
$290.91Published rateBhuvanaprasad Mandalapu
Northern Arizona Healthcare Corporation
$154.91Published rateJelisa Vick
Northern Arizona Healthcare Corporation
$30.98Published rate
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See a sample payer proposalCPT 78761 vs. Other Nuclear Medicine Procedures Codes
The CPT 78761 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 78761 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.
| Code | Complexity | Description |
|---|---|---|
| 78725-CPT | Low | Kidney Function Study, A Radioactive Substance Is Injected And Then Blood Samples Are Taken At Periodic Intervals. Changes In The Amount Of The Substance Help To Evaluate Kidney Function. |
| 78730-CPT | Low | Bladder Residual Scan, A Bladder Residual Scan Uses A Radioactive Substance To Highlight The Bladder When Full And Then When Empty. The Test Is Used To Find Where A Bladder Is Blocked Or Identify Where There May Be Problems. |
| 78740-CPT | Moderate | Scan Of Urine Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Bladder On A Scan During Urination So That Any Backflow May Be Viewed More Easily. |
| 78761-CPT | Moderate | Scan Of The Testicles, A Radioactive Substance Is Given By Iv. A Scanner Is Used To View And Create Images Of One Or Both Testicles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78761. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78761 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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