# CPT 78226: Hepatobiliary system imaging

Medicare CPT 78226 pays $284.91 in a non-facility setting and $284.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $247.09 in Arkansas to $332.45 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/78226-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $284.91 |
| National facility | $284.91 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $332.45 | $332.45 |
| California | $331.65 | $331.65 |
| Washington | $321.14 | $321.14 |
| Hawaii | $318.97 | $318.97 |
| New Jersey | $318.89 | $318.89 |
| Massachusetts | $316.97 | $316.97 |
| New York | $316.94 | $316.94 |
| Alaska | $312.34 | $312.34 |
| Connecticut | $305.88 | $305.88 |
| Colorado | $301.04 | $301.04 |
| Oregon | $298.07 | $298.07 |
| Maryland | $296.41 | $296.41 |
| New Hampshire | $295.11 | $295.11 |
| Rhode Island | $293.55 | $293.55 |
| Minnesota | $290.27 | $290.27 |
| Florida | $288.62 | $288.62 |
| Puerto Rico | $287.70 | $287.70 |
| Virgin Islands | $287.70 | $287.70 |
| Montana | $284.90 | $284.90 |
| Nevada | $284.67 | $284.67 |
| Wyoming | $284.13 | $284.13 |
| North Dakota | $283.12 | $283.12 |
| South Dakota | $282.91 | $282.91 |
| Delaware | $281.63 | $281.63 |
| Vermont | $280.85 | $280.85 |
| Texas | $280.83 | $280.83 |
| Pennsylvania | $280.05 | $280.05 |
| Virginia | $279.64 | $279.64 |
| Illinois | $279.03 | $279.03 |
| Arizona | $276.48 | $276.48 |
| Georgia | $273.67 | $273.67 |
| Maine | $272.31 | $272.31 |
| Wisconsin | $272.00 | $272.00 |
| Michigan | $270.40 | $270.40 |
| Utah | $269.13 | $269.13 |
| North Carolina | $266.55 | $266.55 |
| South Carolina | $264.86 | $264.86 |
| Indiana | $264.54 | $264.54 |
| New Mexico | $264.11 | $264.11 |
| Missouri | $263.63 | $263.63 |
| Nebraska | $263.19 | $263.19 |
| Idaho | $262.70 | $262.70 |
| Louisiana | $262.62 | $262.62 |
| Ohio | $262.50 | $262.50 |
| Iowa | $261.18 | $261.18 |
| Tennessee | $260.05 | $260.05 |
| Kansas | $258.66 | $258.66 |
| Oklahoma | $256.65 | $256.65 |
| Kentucky | $256.03 | $256.03 |
| West Virginia | $252.43 | $252.43 |
| Alabama | $251.37 | $251.37 |
| Mississippi | $248.28 | $248.28 |
| Arkansas | $247.09 | $247.09 |

## 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
- 78185: Spleen imaging — https://www.med-reveal.com/rates/78185-cpt-fee-schedule

Commercial negotiated rates for 78226 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