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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

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Home/CPT codes/78804/By state
CPT 78804Radiology

Reimbursement by state

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Highest
$667.21
Washington
Median
$550.40
across 53 states
Lowest
$475.50
Mississippi
Spread
40%
highest vs lowest
RankStateLocalityRatevs Median
1topWashingtonSeattle (King County)$667.21+21.2%
2MassachusettsMetro Boston$655.46+19.1%
3District of ColumbiaWashington DC + MD/VA Suburbs$654.44+18.9%
4New JerseyNorthern NJ$643.81+17.0%
5New YorkManhattanⓘ$643.17+16.9%
6HawaiiHawaii / Guam

Methodology

Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.

Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.

← Back to CPT 78804

$628.02
+14.1%
7AlaskaAlaska$609.37+10.7%
8OregonPortland$605.19+10.0%
9ConnecticutConnecticut$601.30+9.2%
10CaliforniaLos Angeles-Long Beach-Anaheimⓘ$600.06+9.0%
11MarylandBaltimore / Surrounding Counties$594.92+8.1%
12PennsylvaniaMetropolitan Philadelphia$581.63+5.7%
13ColoradoColorado$579.75+5.3%
14TexasHoustonⓘ$576.22+4.7%
15Rhode IslandRhode Island$573.17+4.1%
16FloridaMiamiⓘ$572.56+4.0%
17New HampshireNew Hampshire$569.96+3.6%
18IllinoisChicagoⓘ$568.86+3.4%
19MinnesotaMinnesota$562.99+2.3%
20MaineMaine (rest)$557.66+1.3%
21Puerto RicoPuerto Rico$556.35+1.1%
22Virgin IslandsVirgin Islands$556.35+1.1%
23MontanaMontana$552.72+0.4%
24NevadaNevada$552.20+0.3%
25WyomingWyoming$551.79+0.3%
26North DakotaNorth Dakota$550.93+0.1%
27South DakotaSouth Dakota$550.40+0.0%
28DelawareDelaware$548.77-0.3%
29MichiganDetroit$548.46-0.4%
30VermontVermont$547.32-0.6%
31VirginiaVirginia$543.66-1.2%
32ArizonaArizona$539.33-2.0%
33WisconsinWisconsin$528.01-4.1%
34MissouriSt. Louis$525.93-4.4%
35LouisianaNew Orleans$519.85-5.6%
36UtahUtah$517.94-5.9%
37North CarolinaNorth Carolina$513.30-6.7%
38IndianaIndiana$510.54-7.2%
39NebraskaNebraska$507.25-7.8%
40South CarolinaSouth Carolina$507.18-7.9%
41OhioOhio$506.98-7.9%
42New MexicoNew Mexico$505.97-8.1%
43IowaIowa$505.78-8.1%
44IdahoIdaho$503.21-8.6%
45KansasKansas$502.49-8.7%
46TennesseeTennessee$497.34-9.6%
47OklahomaOklahoma$495.80-9.9%
48GeorgiaGeorgia$492.89-10.4%
49KentuckyKentucky$488.97-11.2%
50AlabamaAlabama$483.52-12.2%
51West VirginiaWest Virginia$482.85-12.3%
52ArkansasArkansas$478.66-13.0%
53lowMississippiMississippi$475.50-13.6%