# CPT 78804: Radiopharmaceutical localization of tumor, whole body

Medicare CPT 78804 pays $561.14 in a non-facility setting and $561.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $485.14 in Arkansas to $656.68 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/78804-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $561.14 |
| National facility | $561.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $656.68 | $656.68 |
| California | $656.37 | $656.37 |
| Washington | $634.62 | $634.62 |
| Hawaii | $631.10 | $631.10 |
| New Jersey | $629.21 | $629.21 |
| Massachusetts | $626.11 | $626.11 |
| New York | $624.83 | $624.83 |
| Alaska | $609.62 | $609.62 |
| Connecticut | $603.05 | $603.05 |
| Colorado | $594.12 | $594.12 |
| Oregon | $588.24 | $588.24 |
| Maryland | $584.17 | $584.17 |
| New Hampshire | $582.08 | $582.08 |
| Rhode Island | $578.58 | $578.58 |
| Minnesota | $573.28 | $573.28 |
| Florida | $566.99 | $566.99 |
| Puerto Rico | $566.83 | $566.83 |
| Virgin Islands | $566.83 | $566.83 |
| Montana | $561.13 | $561.13 |
| Nevada | $560.93 | $560.93 |
| Wyoming | $560.01 | $560.01 |
| North Dakota | $558.56 | $558.56 |
| South Dakota | $558.25 | $558.25 |
| Delaware | $554.57 | $554.57 |
| Vermont | $553.75 | $553.75 |
| Texas | $552.88 | $552.88 |
| Pennsylvania | $550.98 | $550.98 |
| Virginia | $550.95 | $550.95 |
| Illinois | $547.52 | $547.52 |
| Arizona | $544.26 | $544.26 |
| Georgia | $537.93 | $537.93 |
| Maine | $536.20 | $536.20 |
| Wisconsin | $536.12 | $536.12 |
| Michigan | $530.93 | $530.93 |
| Utah | $529.25 | $529.25 |
| North Carolina | $524.46 | $524.46 |
| South Carolina | $520.66 | $520.66 |
| Indiana | $520.65 | $520.65 |
| New Mexico | $518.51 | $518.51 |
| Nebraska | $518.08 | $518.08 |
| Missouri | $517.92 | $517.92 |
| Idaho | $516.92 | $516.92 |
| Louisiana | $515.75 | $515.75 |
| Ohio | $515.58 | $515.58 |
| Iowa | $513.97 | $513.97 |
| Tennessee | $511.44 | $511.44 |
| Kansas | $508.67 | $508.67 |
| Oklahoma | $504.09 | $504.09 |
| Kentucky | $502.60 | $502.60 |
| West Virginia | $494.35 | $494.35 |
| Alabama | $493.74 | $493.74 |
| Mississippi | $487.16 | $487.16 |
| Arkansas | $485.14 | $485.14 |

## 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 78804 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