# CPT 78185: Spleen imaging

Medicare CPT 78185 pays $154.31 in a non-facility setting and $154.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $133.82 in Arkansas to $180.06 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/78185-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $154.31 |
| National facility | $154.31 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $180.06 | $180.06 |
| California | $179.60 | $179.60 |
| Washington | $173.92 | $173.92 |
| Hawaii | $172.74 | $172.74 |
| New Jersey | $172.71 | $172.71 |
| Massachusetts | $171.67 | $171.67 |
| New York | $171.67 | $171.67 |
| Alaska | $169.15 | $169.15 |
| Connecticut | $165.67 | $165.67 |
| Colorado | $163.04 | $163.04 |
| Oregon | $161.43 | $161.43 |
| Maryland | $160.55 | $160.55 |
| New Hampshire | $159.83 | $159.83 |
| Rhode Island | $158.99 | $158.99 |
| Minnesota | $157.19 | $157.19 |
| Florida | $156.36 | $156.36 |
| Puerto Rico | $155.82 | $155.82 |
| Virgin Islands | $155.82 | $155.82 |
| Montana | $154.31 | $154.31 |
| Nevada | $154.17 | $154.17 |
| Wyoming | $153.88 | $153.88 |
| North Dakota | $153.32 | $153.32 |
| South Dakota | $153.20 | $153.20 |
| Delaware | $152.53 | $152.53 |
| Texas | $152.10 | $152.10 |
| Vermont | $152.09 | $152.09 |
| Pennsylvania | $151.68 | $151.68 |
| Virginia | $151.45 | $151.45 |
| Illinois | $151.17 | $151.17 |
| Arizona | $149.74 | $149.74 |
| Georgia | $148.24 | $148.24 |
| Maine | $147.48 | $147.48 |
| Wisconsin | $147.29 | $147.29 |
| Michigan | $146.48 | $146.48 |
| Utah | $145.76 | $145.76 |
| North Carolina | $144.36 | $144.36 |
| South Carolina | $143.45 | $143.45 |
| Indiana | $143.26 | $143.26 |
| New Mexico | $143.06 | $143.06 |
| Missouri | $142.79 | $142.79 |
| Nebraska | $142.52 | $142.52 |
| Idaho | $142.26 | $142.26 |
| Louisiana | $142.25 | $142.25 |
| Ohio | $142.18 | $142.18 |
| Iowa | $141.44 | $141.44 |
| Tennessee | $140.83 | $140.83 |
| Kansas | $140.08 | $140.08 |
| Oklahoma | $139.00 | $139.00 |
| Kentucky | $138.67 | $138.67 |
| West Virginia | $136.74 | $136.74 |
| Alabama | $136.14 | $136.14 |
| Mississippi | $134.47 | $134.47 |
| Arkansas | $133.82 | $133.82 |

## Related codes

- 78012: Thyroid uptake, single or multiple quantification — https://www.med-reveal.com/rates/78012-cpt-fee-schedule
- 78013: Thyroid imaging, with or without uptake — https://www.med-reveal.com/rates/78013-cpt-fee-schedule
- 78014: Thyroid imaging, with uptake and stimulation/suppression — https://www.med-reveal.com/rates/78014-cpt-fee-schedule
- 78015: Thyroid carcinoma metastases imaging, limited area — https://www.med-reveal.com/rates/78015-cpt-fee-schedule
- 78070: Parathyroid planar imaging — https://www.med-reveal.com/rates/78070-cpt-fee-schedule
- 78075: Adrenal imaging, cortex and/or medulla — https://www.med-reveal.com/rates/78075-cpt-fee-schedule
- 78102: Bone marrow imaging, limited area — https://www.med-reveal.com/rates/78102-cpt-fee-schedule
- 78201: Liver imaging, static — https://www.med-reveal.com/rates/78201-cpt-fee-schedule

Commercial negotiated rates for 78185 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules