# CPT 78453: Myocardial perfusion imaging, planar, single study, wall motion

Medicare CPT 78453 pays $262.87 in a non-facility setting and $262.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $229.27 in Arkansas to $305.38 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/78453-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $262.87 |
| National facility | $262.87 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $305.38 | $305.38 |
| California | $304.07 | $304.07 |
| Washington | $294.94 | $294.94 |
| New Jersey | $293.40 | $293.40 |
| Hawaii | $292.53 | $292.53 |
| Alaska | $292.47 | $292.47 |
| New York | $291.83 | $291.83 |
| Massachusetts | $291.28 | $291.28 |
| Connecticut | $281.68 | $281.68 |
| Colorado | $277.04 | $277.04 |
| Oregon | $274.34 | $274.34 |
| Maryland | $273.19 | $273.19 |
| New Hampshire | $271.75 | $271.75 |
| Rhode Island | $270.61 | $270.61 |
| Minnesota | $267.09 | $267.09 |
| Florida | $266.78 | $266.78 |
| Puerto Rico | $265.31 | $265.31 |
| Virgin Islands | $265.31 | $265.31 |
| Montana | $262.86 | $262.86 |
| Nevada | $262.53 | $262.53 |
| Wyoming | $262.00 | $262.00 |
| North Dakota | $260.88 | $260.88 |
| South Dakota | $260.65 | $260.65 |
| Delaware | $259.97 | $259.97 |
| Texas | $259.29 | $259.29 |
| Vermont | $258.95 | $258.95 |
| Pennsylvania | $258.74 | $258.74 |
| Illinois | $258.37 | $258.37 |
| Virginia | $258.03 | $258.03 |
| Arizona | $255.35 | $255.35 |
| Georgia | $253.14 | $253.14 |
| Maine | $251.52 | $251.52 |
| Wisconsin | $251.03 | $251.03 |
| Michigan | $250.40 | $250.40 |
| Utah | $248.92 | $248.92 |
| North Carolina | $246.46 | $246.46 |
| South Carolina | $245.13 | $245.13 |
| New Mexico | $244.71 | $244.71 |
| Indiana | $244.59 | $244.59 |
| Missouri | $244.14 | $244.14 |
| Nebraska | $243.32 | $243.32 |
| Louisiana | $243.29 | $243.29 |
| Ohio | $243.16 | $243.16 |
| Idaho | $242.96 | $242.96 |
| Iowa | $241.57 | $241.57 |
| Tennessee | $240.68 | $240.68 |
| Kansas | $239.44 | $239.44 |
| Oklahoma | $237.85 | $237.85 |
| Kentucky | $237.41 | $237.41 |
| West Virginia | $234.59 | $234.59 |
| Alabama | $233.07 | $233.07 |
| Mississippi | $230.47 | $230.47 |
| Arkansas | $229.27 | $229.27 |

## 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 78453 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