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See a sample rate comparisonCPT 78815 Fee Schedule
Medicare rates as of October 2026
CPT 78815 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | PS - PET tumor subsequent treatment strategy 26 - Professional component |
| Complexity Level | High |
| Medicare Fee Schedule | $109.56 national non-facility rate (2026) · View Medicare rates for 78815 |
| Medicaid Fee Schedule | $1,241.12 median of the 7 states in the free preview · View Medicaid rates for 78815 |
National average reimbursement for CPT 78815 by major payers:
$1,187.32
BCBS / Anthem
$1,889.54
UnitedHealthcare
$1,687.01
Aetna
$1,853.67
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78815.
CPT 78815
5 of 25 sample ratesHigher to lower in this preview
Lindsey Shea Johnstone
Vanderbilt University Medical Center
$3,660.27Published rateRishu Batra
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1,842.90Published rateVincent Jones
White-Wilson Medical Center, PA
$1,720.75Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$287.91Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$112.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78815 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78815. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78814-CPT | High | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78815-CPT | High | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78816-CPT | High | Pet Scan With Ct Scan, A Pet (Positron Emission Tomography) Scan Creates Images By Detecting A Radioactive Substance That Has Been Given By Mouth Or Iv. A Ct (Computed Tomography) Scan May Be Superimposed For Enhanced Views. |
| 78830-CPT | Moderate | Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging When Performed); Tomographic (Spect) With Concurrently Acquired Computed Tomography (Ct) Transmission Scan For Anatomical Review Localization And Determination/Detection Of Pathology Single Area (Eg Head Neck Chest Pelvis Or Acquisition Singledayimaging(Desc Rvsd 1/1/23) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78815. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78815 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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Frequently Asked Questions
To determine the cost of a medical procedure, you can first ask your healthcare provider for an estimated cost. For more detailed and specific pricing information tailored to CPT codes and your location, you can utilize tools like Payerprice, which offers a comprehensive fee schedule lookup tool.
CPT stands for Current Procedural Terminology. CPT codes are a set of standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to insurance companies and other payers. They are crucial for accurate billing, processing claims, and understanding the specific services provided during a healthcare encounter.
Fee schedules for medical services can vary significantly based on the payer, geographic location, and specific CPT code. For detailed and specific fee schedule information tailored to particular CPT codes and your location, Payerprice offers a specialized fee schedule lookup tool that allows users to search for this data.
Medical costs can vary significantly due to a multitude of factors, including the type of facility (e.g., hospital vs. outpatient clinic), geographic location (impacting labor and overhead costs), negotiated rates with different insurance companies, the complexity of the service, the technology used, and the provider's experience. These variations highlight the importance of researching costs.
Yes, there are tools designed to help compare prices for medical services. For a granular comparison based on specific CPT codes and your location, Payerprice provides a fee schedule lookup tool that allows users to search for pricing information, assisting them in understanding and comparing potential costs.