# CPT 78451: Myocardial perfusion imaging, planar, single study

Medicare CPT 78451 pays $311.30 in a non-facility setting and $311.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $272.61 in Arkansas to $360.90 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/78451-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $311.30 |
| National facility | $311.30 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $360.90 | $360.90 |
| California | $359.56 | $359.56 |
| Alaska | $349.43 | $349.43 |
| Washington | $348.82 | $348.82 |
| New Jersey | $347.02 | $347.02 |
| Hawaii | $345.90 | $345.90 |
| New York | $345.02 | $345.02 |
| Massachusetts | $344.52 | $344.52 |
| Connecticut | $333.14 | $333.14 |
| Colorado | $327.93 | $327.93 |
| Oregon | $324.79 | $324.79 |
| Maryland | $323.32 | $323.32 |
| New Hampshire | $321.66 | $321.66 |
| Rhode Island | $320.47 | $320.47 |
| Minnesota | $316.57 | $316.57 |
| Florida | $315.33 | $315.33 |
| Puerto Rico | $314.14 | $314.14 |
| Virgin Islands | $314.14 | $314.14 |
| Montana | $311.29 | $311.29 |
| Nevada | $311.00 | $311.00 |
| Wyoming | $310.43 | $310.43 |
| North Dakota | $309.31 | $309.31 |
| South Dakota | $309.08 | $309.08 |
| Delaware | $308.03 | $308.03 |
| Texas | $307.23 | $307.23 |
| Vermont | $307.02 | $307.02 |
| Pennsylvania | $306.54 | $306.54 |
| Virginia | $305.85 | $305.85 |
| Illinois | $305.63 | $305.63 |
| Arizona | $302.67 | $302.67 |
| Georgia | $299.93 | $299.93 |
| Maine | $298.35 | $298.35 |
| Wisconsin | $297.94 | $297.94 |
| Michigan | $296.63 | $296.63 |
| Utah | $295.18 | $295.18 |
| North Carolina | $292.48 | $292.48 |
| South Carolina | $290.82 | $290.82 |
| Indiana | $290.39 | $290.39 |
| New Mexico | $290.15 | $290.15 |
| Missouri | $289.60 | $289.60 |
| Nebraska | $288.98 | $288.98 |
| Louisiana | $288.59 | $288.59 |
| Idaho | $288.51 | $288.51 |
| Ohio | $288.45 | $288.45 |
| Iowa | $286.94 | $286.94 |
| Tennessee | $285.83 | $285.83 |
| Kansas | $284.40 | $284.40 |
| Oklahoma | $282.42 | $282.42 |
| Kentucky | $281.83 | $281.83 |
| West Virginia | $278.30 | $278.30 |
| Alabama | $276.99 | $276.99 |
| Mississippi | $273.89 | $273.89 |
| Arkansas | $272.61 | $272.61 |

## 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 78451 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