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See a sample rate comparisonCPT 78761 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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $190.05 national non-facility rate (2026) · View Medicare rates for 78761 |
| Medicaid Fee Schedule | $155.87 median of the 8 states in the free preview · View Medicaid rates for 78761 |
National average reimbursement for CPT 78761 by major payers:

$250.58
BCBS / Anthem

$239.90
UnitedHealthcare

$226.75
Aetna

$290.68
Cigna
Choose a payer to see a sample of rates for CPT 78761.
Adam Johnson
Northern Arizona Healthcare Corporation
Christopher Mueller
Northern Arizona Healthcare Corporation
Emily Courtney
Town Center Orthopaedic Associates, P.C.
Bhuvanaprasad Mandalapu
Northern Arizona Healthcare Corporation
Jelisa Vick
Northern Arizona Healthcare Corporation
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 78761 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78761. Select one to see its fee schedule.
| 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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