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See a sample rate comparisonCPT 78801 Fee Schedule
Medicare rates as of October 2026
CPT 78801 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Rp Loclzj Tum 2 Area 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar 2 Or More Areas Eg Abdomen And Pelvis Head And Chest 1 Or More Days Imaging Or Single Area Imaging Over 2 Or More Days
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $240.15 national non-facility rate (2026) · View Medicare rates for 78801 |
| Medicaid Fee Schedule | $198.165 median of the 8 states in the free preview · View Medicaid rates for 78801 |
National average reimbursement for CPT 78801 by major payers:
$302.41
BCBS / Anthem
$305.81
UnitedHealthcare
$308.06
Aetna
$366.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78801.
CPT 78801
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$798.04Published rateSteven Nuanes
Northern Arizona Healthcare Corporation
$402.01Published rateDaniel Blake
Northern Arizona Healthcare Corporation
$334.20Published rateMichael Reidy
Northern Arizona Healthcare Corporation
$67.80Published rateThomas De Moulin
Northern Arizona Healthcare Corporation
$31.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78801 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78801. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78800-CPT | Moderate | Rp Loclzj Tum 1 Area 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar Single Area Eg Head Neck Chest Pelvis Single Day Imaging |
| 78801-CPT | Moderate | Rp Loclzj Tum 2 Area 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar 2 Or More Areas Eg Abdomen And Pelvis Head And Chest 1 Or More Days Imaging Or Single Area Imaging Over 2 Or More Days |
| 78802-CPT | Moderate | Rp Loclzj Tum Whbdy 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar Whole Body Single Day Imaging |
| 78803-CPT | Moderate | Rp Loclzj Tum Spect 1 Area, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Tomographic Spect Single Area Eg Head Neck Chest Pelvis Or Acquisition Single Day Imaging |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78801. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78801 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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