# CPT 78290: Gastrointestinal protein loss study

Medicare CPT 78290 pays $290.92 in a non-facility setting and $290.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $251.98 in Arkansas to $339.78 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/78290-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $290.92 |
| National facility | $290.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $339.78 | $339.78 |
| California | $339.07 | $339.07 |
| Washington | $328.21 | $328.21 |
| Hawaii | $326.08 | $326.08 |
| New Jersey | $325.81 | $325.81 |
| Massachusetts | $323.91 | $323.91 |
| New York | $323.78 | $323.78 |
| Alaska | $317.88 | $317.88 |
| Connecticut | $312.47 | $312.47 |
| Colorado | $307.54 | $307.54 |
| Oregon | $304.50 | $304.50 |
| Maryland | $302.75 | $302.75 |
| New Hampshire | $301.45 | $301.45 |
| Rhode Island | $299.79 | $299.79 |
| Minnesota | $296.52 | $296.52 |
| Florida | $294.66 | $294.66 |
| Puerto Rico | $293.80 | $293.80 |
| Virgin Islands | $293.80 | $293.80 |
| Montana | $290.92 | $290.92 |
| Nevada | $290.69 | $290.69 |
| Wyoming | $290.14 | $290.14 |
| North Dakota | $289.14 | $289.14 |
| South Dakota | $288.93 | $288.93 |
| Delaware | $287.54 | $287.54 |
| Vermont | $286.78 | $286.78 |
| Texas | $286.71 | $286.71 |
| Pennsylvania | $285.88 | $285.88 |
| Virginia | $285.52 | $285.52 |
| Illinois | $284.77 | $284.77 |
| Arizona | $282.25 | $282.25 |
| Georgia | $279.32 | $279.32 |
| Maine | $277.97 | $277.97 |
| Wisconsin | $277.68 | $277.68 |
| Michigan | $275.93 | $275.93 |
| Utah | $274.66 | $274.66 |
| North Carolina | $272.02 | $272.02 |
| South Carolina | $270.26 | $270.26 |
| Indiana | $269.97 | $269.97 |
| New Mexico | $269.46 | $269.46 |
| Missouri | $268.98 | $268.98 |
| Nebraska | $268.58 | $268.58 |
| Idaho | $268.07 | $268.07 |
| Louisiana | $267.93 | $267.93 |
| Ohio | $267.82 | $267.82 |
| Iowa | $266.51 | $266.51 |
| Tennessee | $265.34 | $265.34 |
| Kansas | $263.91 | $263.91 |
| Oklahoma | $261.80 | $261.80 |
| Kentucky | $261.15 | $261.15 |
| West Virginia | $257.39 | $257.39 |
| Alabama | $256.38 | $256.38 |
| Mississippi | $253.18 | $253.18 |
| Arkansas | $251.98 | $251.98 |

## 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 78290 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