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CPT code 78013: Thyroid imaging, with blood-flow imaging2026 Medicare rate & RVUs in Delaware

Reports nuclear medicine imaging of the thyroid that includes blood-flow assessment, used to evaluate thyroid tissue distribution and suspected functional abnormalities.

CMS RVU26DEffective Oct 1, 2026One payment locality695 Medicare services in 2024

In Delaware, Medicare pays $164.07 for 78013 in the office.

$164.07Office (non-facility)
Not available in this settingHospital or facility
−1.2%vs the national office rate ($166.00)

Check a contract rate as a % of Medicare · 78013 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 78013 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 78013 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 78013 covers

A nuclear medicine study captures images of the thyroid and includes a blood-flow phase. It can help evaluate the distribution of functioning thyroid tissue, including suspected autonomous tissue or ectopic thyroid tissue. A nuclear medicine physician or radiologist typically interprets the images after acquisition with a gamma camera in a hospital or imaging center.

Report 78013 when the service includes thyroid imaging with blood-flow assessment but does not include quantitative thyroid uptake measurement. The record should support the clinical reason for imaging and document the performed imaging protocol and interpretation. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC. Without either modifier, the claim represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 78013

Across 109 of 109 payment localities, the office rate for 78013 runs from $143.72 in Arkansas to $233.87 in San Benito County, CA. Delaware pays $164.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

78013 in Delaware vs other payment areas
  1. Delaware · this page$164.07
  2. Los Angeles, CA · California$193.81+$29.74
  3. Washington, DC area · District of Columbia$193.95+$29.88
  4. Miami, FL · Florida$174.80+$10.73
  5. Chicago, IL · Illinois$169.01+$4.94
  6. Manhattan, NY · New York$192.42+$28.35
  7. Alaska · Alaska$181.16+$17.09

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

78013 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$146.24—
ArkansasArkansas$143.72—
ArizonaArizona$161.04—
Bakersfield, CACalifornia$180.20—
Chico, CACalifornia$180.05—
El Centro, CACalifornia$180.06—
Fresno, CACalifornia$180.05—
Hanford, CACalifornia$180.05—

78013 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$143.72

$206.96

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
78013 office rate range by state
State / territoryOffice rate rangeLocalities
AK$181.161
AL$146.241
AR$143.721
AZ$161.041
CA$180.05–$233.8729
CO$175.531
CT$178.321
DC$193.951
DE$164.071
FL$160.14–$174.803
GA$149.87–$168.812
GU$186.171
HI$186.171
IA$152.051
ID$152.941
IL$153.69–$171.494
IN$154.031
KS$150.551
KY$148.951
LA$148.42–$157.242
MA$173.93–$195.862
MD$167.81–$193.953
ME$153.19–$164.022
MI$152.97–$161.822
MN$169.241
MO$144.94–$158.703
MS$144.401
MT$166.001
NC$155.191
ND$165.011
NE$153.241
NH$172.041
NJ$180.66–$191.242
NM$153.701
NV$165.881
NY$157.89–$196.995
OH$152.771
OK$149.331
OR$164.90–$182.672
PA$153.42–$172.792
PR$167.651
RI$171.081
SC$154.181
SD$164.891
TN$151.371
TX$152.18–$174.678
UT$156.691
VA$162.92–$193.952
VI$167.651
VT$163.651
WA$173.83–$200.872
WI$158.451
WV$146.771
WY$165.571

See 78013 in every payment locality

How the 78013 rate is calculated

Each of 78013’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 78013

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.36

0.36 RVUs× 1.000 GPCI

Practice expense4.56

4.56 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

4.9700

Conversion factor

$33.4009

Medicare rate

$166.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,182

Code
78013
Physician work
0.36
Practice expense
4.56
Malpractice
0.05

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 78013 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0050.3618
Practice expense4.56× 0.9884.5053
Malpractice0.05× 0.8990.0450
Total RVUs4.9120
Conversion factor× 33.4009

Office rate, Delaware$164.07

Office: (0.36 × 1.005 + 4.56 × 0.988 + 0.05 × 0.899) × $33.4009 = $164.07

Open 78013 in the RVU calculator

Payment rules and modifiers for 78013

The CMS indicators that decide how 78013 is paid alongside other services.

CMS payment indicators · 78013

Thyroid imaging, with blood-flow imaging

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

78013 without 26 · national office

$166.00

Thyroid imaging, with blood-flow imaging

78013-26 · Professional component

$16.70

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78013

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 78013
CodeHow it relatesOffice range, Delaware
Used instead
78014Thyroid scan, quantitative uptake measurementUse when thyroid imaging with blood-flow assessment also includes quantitative uptake measurement.$208.30
78012Thyroid uptake, uptake measurement onlyReports quantitative thyroid uptake measurement without the thyroid imaging service in 78013.$79.19
78015Thyroid metastasis imaging, limited anatomic areaImaging directed at thyroid carcinoma metastases in a limited area, rather than thyroid imaging.$201.76

How 78013 has changed in Delaware

78013 · Office / nonfacility

$164.07

Effective 2026-10-01

The base rate is $1.91 higher than on 2025-10-01, moving from $162.16 to $164.07 (1.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $162.16changed to$164.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Practice expense RVU 4.62 changed to 4.56
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $169.85changed to$162.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.71 changed to 4.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $167.08changed to$169.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $182.08changed to$167.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.91 changed to 4.71
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $194.14changed to$182.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.08 changed to 4.91
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $204.66changed to$194.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.33 changed to 5.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $202.10changed to$204.66

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.08 changed to 5.33
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $203.47changed to$202.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.12 changed to 5.08
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $206.55changed to$203.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.21 changed to 5.12

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $205.57changed to$206.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.17 changed to 5.21
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $205.08changed to$205.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.14 changed to 5.17
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $203.93changed to$205.08

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.11 changed to 5.14
    • Malpractice RVU 0.03 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $202.92changed to$203.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $204.68changed to$202.92

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$204.68

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$164.07Not available in this settingRVU26D
2026-07-01$164.07Not available in this settingRVU26C
2026-04-01$164.07Not available in this settingRVU26B
2026-01-01$164.07Not available in this settingRVU26A
2025-10-01$162.16Not available in this settingRVU25D
2025-07-01$162.16Not available in this settingRVU25C
2025-04-01$162.16Not available in this settingRVU25B
2025-01-01$162.16Not available in this settingRVU25A
2024-10-01$169.85Not available in this settingRVU24D
2024-07-01$169.85Not available in this settingRVU24C
2024-04-01$169.85Not available in this settingRVU24B
2024-03-09$169.85Not available in this settingRVU24AR
2024-01-01$167.08Not available in this settingRVU24A
2023-10-01$182.08Not available in this settingRVU23D
2023-07-01$182.08Not available in this settingRVU23C
2023-04-01$182.08Not available in this settingRVU23B
2023-01-01$182.08Not available in this settingRVU23A
2022-10-01$194.14Not available in this settingRVU22D
2022-07-01$194.14Not available in this settingRVU22C
2022-04-01$194.14Not available in this settingRVU22B
2022-01-01$194.14Not available in this settingRVU22A
2021-10-01$204.66Not available in this settingRVU21D
2021-07-01$204.66Not available in this settingRVU21C
2021-04-01$204.66Not available in this settingRVU21B
2021-01-01$204.66Not available in this settingRVU21A
2020-10-01$202.10Not available in this settingRVU20D
2020-07-01$202.10Not available in this settingRVU20C
2020-04-01$202.10Not available in this settingRVU20B
2020-01-01$202.10Not available in this settingRVU20A
2019-10-01$203.47Not available in this settingRVU19D
2019-07-01$203.47Not available in this settingRVU19C
2019-04-01$203.47Not available in this settingRVU19B
2019-01-01$203.47Not available in this settingRVU19A
2018-10-01$206.55Not available in this settingRVU18D
2018-07-01$206.55Not available in this settingRVU18C
2018-04-01$206.55Not available in this settingRVU18B
2018-01-01$206.55Not available in this settingRVU18AR1
2017-10-01$205.57Not available in this settingRVU17D
2017-07-01$205.57Not available in this settingRVU17C
2017-04-01$205.57Not available in this settingRVU17B
2017-01-01$205.57Not available in this settingRVU17A
2016-10-01$205.08Not available in this settingRVU16D
2016-07-01$205.08Not available in this settingRVU16C
2016-04-01$205.08Not available in this settingRVU16B
2016-01-01$205.08Not available in this settingRVU16A
2015-10-01$203.93Not available in this settingRVU15D
2015-07-01$203.93Not available in this settingRVU15C
2015-04-01$202.92Not available in this settingRVU15B
2015-01-01$202.92Not available in this settingRVU15A
2014-10-01$204.68Not available in this settingRVU14D
2014-07-01$204.68Not available in this settingRVU14C
2014-04-01$204.68Not available in this settingRVU14B
2014-01-01$204.68Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 78013 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

78013 billing questions

How does 78013 differ from 78014?

78013 represents thyroid imaging with blood-flow assessment. Use 78014 when the imaging service also includes one or more quantitative thyroid uptake measurements.

When should 78012 be considered instead?

78012 is for quantitative thyroid uptake measurement without the thyroid imaging service represented by 78013. Choose based on the service actually performed and documented.

When are modifiers 26 and TC appropriate?

Use modifier 26 for the physician's interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.

What documentation supports reporting 78013?

Document the clinical reason for the thyroid study, the imaging performed including its blood-flow phase, and the physician's interpretation. The record should distinguish imaging from any separately performed uptake measurement.

Is 78013 the code for thyroid cancer metastasis imaging?

No. 78013 describes thyroid imaging with blood-flow assessment; 78015 is for imaging directed at thyroid carcinoma metastases in a limited area.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 78013PPRRVU2026_Oct_nonQPP.csv, line 9,182 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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