CPT 78808 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Nuclear Medicine Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78808 |
National average reimbursement for CPT 78808 by major payers:
$61.55
$49.19
$45.99
$70.50
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 78808 | ||||||
United | 78808 | $99.04 | 1427017284 - FRANK KOSAREK | 10510040 - (ME) SPECTRUM HEALTHCARE PARTNERS, P.A. | NC | Diagnostic Radiology Physician (2085R0202X) |
United | 78808 | $34.97 | 1144600446 - ANDREW KADDIS | 201064117 - PACIFIC EMERGENCY PROVIDERS | CA | Emergency Medicine Physician (207P00000X) |
United | 78808 | $40.20 | 1700032729 - APARNA DALAL | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 78808 | $69.69 | 1619974201 - BRADFORD URICCHIO | 263086555 - REID PHYSICIAN ASSOCIATES INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 78808 | $589.01 | 1043218365 - HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY, BAYOU BEND HEALTH SYSTEM | 726008504 - (LA) HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY | LA | Critical Access Hospital (282NC0060X) |
United | 78808 | $60.61 | 1558314948 - DALLAS VAMC, BONHAM VAMC | 756108647 | TX | General Acute Care Hospital (282N00000X) |
United | 78808 | $57.75 | 1619932894 - PAUL FISHER | 371363001 - (IL) RICHLAND MEMORIAL HOSPITAL INC | NY | Pediatric Radiology Physician (2085P0229X) |
United | 78808 | $471.73 | 1659323772 - COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP, MEDICAL CITY FORT WORTH | 621682202 - (TX) COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 78808 | $377.11 | 1669752234 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 78808 | $377.11 | 1912937624 - HILTON HEAD HEALTH SYSTEM, L.P., HILTON HEAD HOSPITAL | 934604680 | SC | General Acute Care Hospital (282N00000X) |
United | 78808 | $53.33 | 1225147234 - BASIM KAHLEIFEH | 562357255 - (KY) BARDSTOWN WOMENS CENTER PLLC | KY | Obstetrics & Gynecology Physician (207V00000X) |
United | 78808 | $377.11 | 1003344334 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 78808 | $75.44 | 1366521734 - ANDREW PRICE | 901116753 | AZ | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 78808 | $92.81 | 1205183415 - GRETHE MORTENSON | 251857035 | OR | Nurse Practitioner (363L00000X) |
United | 78808 | $377.11 | 1639422504 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL SCHERTZ | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 78808 vs. Other Nuclear Medicine Procedures Codes
The CPT 78808 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 78808 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 |
|---|---|---|
| 78800-CPT | Moderate | 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 (Desc Rvsd 1/1/20) |
| 78801-CPT | Moderate | Radiopharmaceutical Localization Of Tumor Inflamm-Atory Process Or Distribution Of Radiopharmaceuti-Cal 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 (Desc Rvsd 1/1/20) |
| 78802-CPT | Moderate | Radiopharmaceutical Localization Of Tumor Inflamm-Atory Process Or Distribution Of Radiopharmaceuti-Cal Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Planar Whole Body Single Day Imaging (Desc Rvsd 1/1/20) |
| 78808-CPT | Low | Injection Procedure For Radioparmaceutical Localization By Non-Imaging Probe Study Intravenous (Eg Parathyroid Adenoma) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78808. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78808 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 78808) and we'll show you how you compare in 15 minutes or less.