CPT code 78300: Bone scan, limited area2026 Medicare rate & RVUs in South Dakota

Reports radionuclide imaging of a defined, limited skeletal region when the clinical question concerns a localized bone finding rather than a broader survey.

CMS RVU26DEffective Oct 1, 2026One payment locality2.9K Medicare services in 2024

In South Dakota, Medicare pays $198.07 for 78300 in the office.

$198.07Office (non-facility)
Not available in this settingHospital or facility
−0.7%vs the national office rate ($199.40)

Check a contract rate as a % of Medicare · 78300 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 78300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 78300 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 78300 covers

This nuclear medicine study images a defined, limited portion of the skeleton. A gamma camera records the distribution of radiopharmaceutical uptake in that region. It may be used to investigate a localized concern, such as focal bone pain or suspected occult injury. The study is typically performed in a nuclear medicine department, with interpretation by a nuclear medicine physician or radiologist.

Select 78300 when the imaging is confined to a limited region; the documented area and images should support that scope. Imaging of multiple areas or the whole body is represented by different bone-imaging codes, while a three-phase study has its own code. Documentation should identify the region examined and include the images and interpreting physician’s report. For Medicare, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service, including equipment and staff. Reporting without either modifier 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 South Dakota compares for 78300

Across 109 of 109 payment localities, the office rate for 78300 runs from $173.42 in Arkansas to $279.07 in San Benito County, CA. South Dakota pays $198.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

78300 in South Dakota vs other payment areas
  1. South Dakota · this page$198.07
  2. Los Angeles, CA · California$232.01+$33.94
  3. Washington, DC area · District of Columbia$232.28+$34.21
  4. Miami, FL · Florida$209.74+$11.67
  5. Chicago, IL · Illinois$203.03+$4.96
  6. Manhattan, NY · New York$230.59+$32.52
  7. Alaska · Alaska$220.05+$21.98

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

Every other payment area

78300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$176.36—
ArkansasArkansas$173.42—
ArizonaArizona$193.62—
Bakersfield, CACalifornia$216.03—
Chico, CACalifornia$215.84—
El Centro, CACalifornia$215.85—
Fresno, CACalifornia$215.84—
Hanford, CACalifornia$215.84—

78300 rates by state

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

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.

$173.42

$247.45

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

View every state and territory as a table
78300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$220.051
AL$176.361
AR$173.421
AZ$193.621
CA$215.84–$279.0729
CO$210.561
CT$213.881
DC$232.281
DE$197.171
FL$192.61–$209.743
GA$180.63–$202.702
GU$222.861
HI$222.861
IA$183.121
ID$184.161
IL$185.10–$205.884
IN$185.431
KS$181.381
KY$179.551
LA$178.92–$189.212
MA$208.72–$234.412
MD$201.57–$232.283
ME$184.46–$197.072
MI$184.23–$194.572
MN$203.141
MO$174.88–$190.893
MS$174.231
MT$199.401
NC$186.801
ND$198.211
NE$184.501
NH$206.421
NJ$216.72–$229.182
NM$185.091
NV$199.251
NY$189.94–$235.925
OH$183.991
OK$179.981
OR$198.10–$218.902
PA$184.75–$207.422
PR$201.321
RI$205.421
SC$185.621
SD$198.071
TN$182.341
TX$183.30–$209.508
UT$188.561
VA$195.80–$232.282
VI$201.321
VT$196.641
WA$208.58–$240.302
WI$190.571
WV$177.031
WY$198.881

See 78300 in every payment locality

How the 78300 rate is calculated

Each of 78300’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 · 78300

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense5.31

5.31 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

5.9700

Conversion factor

$33.4009

Medicare rate

$199.40

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,319

Code
78300
Physician work
0.60
Practice expense
5.31
Malpractice
0.06

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 78300 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense5.31× 1.0005.3100
Malpractice0.06× 0.3360.0202
Total RVUs5.9302
Conversion factor× 33.4009

Office rate, South Dakota$198.07

Office: (0.6 × 1 + 5.31 × 1 + 0.06 × 0.336) × $33.4009 = $198.07

Open 78300 in the RVU calculator

Payment rules and modifiers for 78300

The CMS indicators that decide how 78300 is paid alongside other services.

CMS payment indicators · 78300

Bone scan, limited area

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

78300 without 26 · national office

$199.40

Bone scan, limited area

78300-26 · Professional component

$28.06

Pays only the interpretation and report.

When to use modifier 26

How 78300 has changed in South Dakota

78300 · Office / nonfacility

$198.07

Effective 2026-10-01

The base rate is $2.60 higher than on 2025-10-01, moving from $195.47 to $198.07 (1.3%).

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

    $195.47changed to$198.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.62 changed to 0.60
    • Practice expense RVU 5.40 changed to 5.31
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $205.15changed to$195.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.52 changed to 5.40

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $201.80changed to$205.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $213.46changed to$201.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.65 changed to 5.52
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $222.09changed to$213.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.77 changed to 5.65
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $234.05changed to$222.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.06 changed to 5.77

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $235.38changed to$234.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.88 changed to 6.06
    • Malpractice RVU 0.06 changed to 0.08
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $237.62changed to$235.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.95 changed to 5.88
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $242.40changed to$237.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.09 changed to 5.95

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $188.69changed to$242.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.61 changed to 6.09
    • Malpractice RVU 0.07 changed to 0.06
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $187.18changed to$188.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.58 changed to 4.61
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $186.64changed to$187.18

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.55 changed to 4.58
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $185.71changed to$186.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $183.59changed to$185.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.48 changed to 4.55
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $184.27changed to$183.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.77 changed to 4.48
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $184.27

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$198.07Not available in this settingRVU26D
2026-07-01$198.07Not available in this settingRVU26C
2026-04-01$198.07Not available in this settingRVU26B
2026-01-01$198.07Not available in this settingRVU26A
2025-10-01$195.47Not available in this settingRVU25D
2025-07-01$195.47Not available in this settingRVU25C
2025-04-01$195.47Not available in this settingRVU25B
2025-01-01$195.47Not available in this settingRVU25A
2024-10-01$205.15Not available in this settingRVU24D
2024-07-01$205.15Not available in this settingRVU24C
2024-04-01$205.15Not available in this settingRVU24B
2024-03-09$205.15Not available in this settingRVU24AR
2024-01-01$201.80Not available in this settingRVU24A
2023-10-01$213.46Not available in this settingRVU23D
2023-07-01$213.46Not available in this settingRVU23C
2023-04-01$213.46Not available in this settingRVU23B
2023-01-01$213.46Not available in this settingRVU23A
2022-10-01$222.09Not available in this settingRVU22D
2022-07-01$222.09Not available in this settingRVU22C
2022-04-01$222.09Not available in this settingRVU22B
2022-01-01$222.09Not available in this settingRVU22A
2021-10-01$234.05Not available in this settingRVU21D
2021-07-01$234.05Not available in this settingRVU21C
2021-04-01$234.05Not available in this settingRVU21B
2021-01-01$234.05Not available in this settingRVU21A
2020-10-01$235.38Not available in this settingRVU20D
2020-07-01$235.38Not available in this settingRVU20C
2020-04-01$235.38Not available in this settingRVU20B
2020-01-01$235.38Not available in this settingRVU20A
2019-10-01$237.62Not available in this settingRVU19D
2019-07-01$237.62Not available in this settingRVU19C
2019-04-01$237.62Not available in this settingRVU19B
2019-01-01$237.62Not available in this settingRVU19A
2018-10-01$242.40Not available in this settingRVU18D
2018-07-01$242.40Not available in this settingRVU18C
2018-04-01$242.40Not available in this settingRVU18B
2018-01-01$242.40Not available in this settingRVU18AR1
2017-10-01$188.69Not available in this settingRVU17D
2017-07-01$188.69Not available in this settingRVU17C
2017-04-01$188.69Not available in this settingRVU17B
2017-01-01$188.69Not available in this settingRVU17A
2016-10-01$187.18Not available in this settingRVU16D
2016-07-01$187.18Not available in this settingRVU16C
2016-04-01$187.18Not available in this settingRVU16B
2016-01-01$187.18Not available in this settingRVU16A
2015-10-01$186.64Not available in this settingRVU15D
2015-07-01$186.64Not available in this settingRVU15C
2015-04-01$185.71Not available in this settingRVU15B
2015-01-01$185.71Not available in this settingRVU15A
2014-10-01$183.59Not available in this settingRVU14D
2014-07-01$183.59Not available in this settingRVU14C
2014-04-01$183.59Not available in this settingRVU14B
2014-01-01$183.59Not available in this settingRVU14A
2013-10-01$184.27Not available in this settingRVU13D
2013-07-01$184.27Not available in this settingRVU13C
2013-04-01$184.27Not available in this settingRVU13B
2013-01-01$184.27Not available in this settingRVU13AR

Price 78300 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

78300 billing questions

How do I distinguish 78300 from 78305?

Use 78300 for imaging confined to a limited skeletal region. Use 78305 when multiple skeletal areas are imaged.

When is 78306 more appropriate?

78306 represents whole-body bone imaging. Choose based on the extent of the study performed and documented, not simply the reason for the scan.

How does 78315 differ from 78300?

78315 identifies a three-phase bone imaging study. Use 78300 for a limited-area study that is not reported as a three-phase examination.

How are the professional and technical services reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Reporting without a modifier represents the global service.

What documentation supports 78300?

Document the limited skeletal region examined, the imaging performed, and the interpreting physician’s report. The recorded extent should support a limited-area study rather than multiple-area or whole-body imaging.

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 78300PPRRVU2026_Oct_nonQPP.csv, line 9,319 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 78300 pays in South Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 78300 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist