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CPT code 78305: Bone imaging, multiple areas2026 Medicare rate & RVUs in Washington, DC area

Reports radionuclide imaging of multiple skeletal regions when the study targets several areas rather than a limited site or the whole skeleton.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Washington, DC area, Medicare pays $282.50 for 78305 in the office.

$282.50Office (non-facility)
Not available in this settingHospital or facility
+16.3%vs the national office rate ($242.82)

Check a contract rate as a % of Medicare · 78305 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 78305 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 78305 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 78305 covers

A bone scan uses an injected radiopharmaceutical and a gamma camera to assess skeletal uptake in several regions. A nuclear medicine technologist performs the acquisition, and a radiologist or other qualified physician interprets the images. Typical clinical questions include evaluation of multifocal bone pain, suspected skeletal metastases, or possible bone infection involving more than one area. The study may be performed in a hospital or outpatient imaging center.

Choose this code when the documented examination covers multiple skeletal areas but is not a whole-body bone study or a three-phase study. The report should identify the regions imaged and include the interpreting physician’s findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The claim should reflect the component actually furnished by the billing entity.

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 Washington, DC area compares for 78305

Across 109 of 109 payment localities, the office rate for 78305 runs from $211.37 in Arkansas to $338.45 in San Benito County, CA. Washington, DC area pays $282.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

78305 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$282.50
  2. Los Angeles, CA · California$281.86−$0.64
  3. Miami, FL · Florida$256.14−$26.36
  4. Chicago, IL · Illinois$247.97−$34.53
  5. Manhattan, NY · New York$280.79−$1.71
  6. Alaska · Alaska$268.83−$13.67
  7. Alabama · Alabama$214.92−$67.58

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

78305 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$211.37—
ArizonaArizona$235.80—
Bakersfield, CACalifornia$262.59—
Chico, CACalifornia$262.31—
El Centro, CACalifornia$262.33—
Fresno, CACalifornia$262.31—
Hanford, CACalifornia$262.31—
Madera, CACalifornia$262.31—

78305 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.

$211.37

$300.38

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

View every state and territory as a table
78305 office rate range by state
State / territoryOffice rate rangeLocalities
AK$268.831
AL$214.921
AR$211.371
AZ$235.801
CA$262.31–$338.4529
CO$256.111
CT$260.381
DC$282.501
DE$240.101
FL$234.97–$256.143
GA$220.42–$246.912
GU$270.711
HI$270.711
IA$222.931
ID$224.221
IL$226.01–$251.084
IN$225.751
KS$220.911
KY$218.951
LA$218.23–$230.682
MA$253.92–$284.882
MD$245.40–$282.503
ME$224.67–$239.802
MI$224.70–$237.442
MN$246.881
MO$213.38–$232.623
MS$212.471
MT$242.821
NC$227.481
ND$241.041
NE$224.571
NH$251.171
NJ$263.77–$278.782
NM$225.771
NV$242.541
NY$231.29–$287.345
OH$224.341
OK$219.391
OR$241.08–$266.102
PA$225.21–$252.622
PR$245.121
RI$250.041
SC$226.201
SD$240.831
TN$222.071
TX$223.46–$254.888
UT$229.751
VA$238.32–$282.502
VI$245.121
VT$239.211
WA$253.73–$291.922
WI$231.811
WV$216.251
WY$242.041

See 78305 in every payment locality

How the 78305 rate is calculated

Each of 78305’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 · 78305

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.81

0.81 RVUs× 1.000 GPCI

Practice expense6.37

6.37 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

7.2700

Conversion factor

$33.4009

Medicare rate

$242.82

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,322

Code
78305
Physician work
0.81
Practice expense
6.37
Malpractice
0.09

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 78305 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0540.8537
Practice expense6.37× 1.1787.5039
Malpractice0.09× 1.1130.1002
Total RVUs8.4578
Conversion factor× 33.4009

Office rate, Washington, DC area$282.50

Office: (0.81 × 1.054 + 6.37 × 1.178 + 0.09 × 1.113) × $33.4009 = $282.50

Open 78305 in the RVU calculator

Payment rules and modifiers for 78305

The CMS indicators that decide how 78305 is paid alongside other services.

CMS payment indicators · 78305

Bone imaging, multiple areas

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

78305 without 26 · national office

$242.82

Bone imaging, multiple areas

78305-26 · Professional component

$38.08

Pays only the interpretation and report.

When to use modifier 26

Codes related to 78305

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

Codes related to 78305
CodeHow it relatesOffice range, Washington, DC area
Same family
78300Bone scan, limited areaBone imaging limited to one area rather than multiple skeletal regions.$232.28
78306Bone imaging, whole bodyWhole-body bone imaging, distinguished by the extent of the examination.$301.67
Used instead
78315Bone imaging, three-phase acquisitionReports a three-phase bone imaging protocol rather than imaging multiple areas alone.$352.95

How 78305 has changed in Washington, DC area

78305 · Office / nonfacility

$282.50

Effective 2026-10-01

The base rate is $0.48 higher than on 2025-10-01, moving from $282.02 to $282.50 (0.2%).

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

    $282.02changed to$282.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.83 changed to 0.81
    • Practice expense RVU 6.50 changed to 6.37
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $293.00changed to$282.02

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.57 changed to 6.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $288.22changed to$293.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $313.20changed to$288.22

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.81 changed to 6.57
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $328.56changed to$313.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.89 changed to 6.81
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $347.68changed to$328.56

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.27 changed to 6.89

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $345.33changed to$347.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.04 changed to 7.27
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $346.27changed to$345.33

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.17 changed to 7.04
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $353.26changed to$346.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.34 changed to 7.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $288.72changed to$353.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.87 changed to 7.34
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $286.00changed to$288.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.82 changed to 5.87
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $285.27changed to$286.00

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.79 changed to 5.82
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $283.85changed to$285.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $278.82changed to$283.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.68 changed to 5.79
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $287.88changed to$278.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.27 changed to 5.68
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $287.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$282.50Not available in this settingRVU26D
2026-07-01$282.50Not available in this settingRVU26C
2026-04-01$282.50Not available in this settingRVU26B
2026-01-01$282.50Not available in this settingRVU26A
2025-10-01$282.02Not available in this settingRVU25D
2025-07-01$282.02Not available in this settingRVU25C
2025-04-01$282.02Not available in this settingRVU25B
2025-01-01$282.02Not available in this settingRVU25A
2024-10-01$293.00Not available in this settingRVU24D
2024-07-01$293.00Not available in this settingRVU24C
2024-04-01$293.00Not available in this settingRVU24B
2024-03-09$293.00Not available in this settingRVU24AR
2024-01-01$288.22Not available in this settingRVU24A
2023-10-01$313.20Not available in this settingRVU23D
2023-07-01$313.20Not available in this settingRVU23C
2023-04-01$313.20Not available in this settingRVU23B
2023-01-01$313.20Not available in this settingRVU23A
2022-10-01$328.56Not available in this settingRVU22D
2022-07-01$328.56Not available in this settingRVU22C
2022-04-01$328.56Not available in this settingRVU22B
2022-01-01$328.56Not available in this settingRVU22A
2021-10-01$347.68Not available in this settingRVU21D
2021-07-01$347.68Not available in this settingRVU21C
2021-04-01$347.68Not available in this settingRVU21B
2021-01-01$347.68Not available in this settingRVU21A
2020-10-01$345.33Not available in this settingRVU20D
2020-07-01$345.33Not available in this settingRVU20C
2020-04-01$345.33Not available in this settingRVU20B
2020-01-01$345.33Not available in this settingRVU20A
2019-10-01$346.27Not available in this settingRVU19D
2019-07-01$346.27Not available in this settingRVU19C
2019-04-01$346.27Not available in this settingRVU19B
2019-01-01$346.27Not available in this settingRVU19A
2018-10-01$353.26Not available in this settingRVU18D
2018-07-01$353.26Not available in this settingRVU18C
2018-04-01$353.26Not available in this settingRVU18B
2018-01-01$353.26Not available in this settingRVU18AR1
2017-10-01$288.72Not available in this settingRVU17D
2017-07-01$288.72Not available in this settingRVU17C
2017-04-01$288.72Not available in this settingRVU17B
2017-01-01$288.72Not available in this settingRVU17A
2016-10-01$286.00Not available in this settingRVU16D
2016-07-01$286.00Not available in this settingRVU16C
2016-04-01$286.00Not available in this settingRVU16B
2016-01-01$286.00Not available in this settingRVU16A
2015-10-01$285.27Not available in this settingRVU15D
2015-07-01$285.27Not available in this settingRVU15C
2015-04-01$283.85Not available in this settingRVU15B
2015-01-01$283.85Not available in this settingRVU15A
2014-10-01$278.82Not available in this settingRVU14D
2014-07-01$278.82Not available in this settingRVU14C
2014-04-01$278.82Not available in this settingRVU14B
2014-01-01$278.82Not available in this settingRVU14A
2013-10-01$287.88Not available in this settingRVU13D
2013-07-01$287.88Not available in this settingRVU13C
2013-04-01$287.88Not available in this settingRVU13B
2013-01-01$287.88Not available in this settingRVU13AR

Price 78305 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

78305 billing questions

How is this code distinguished from a limited-area bone scan?

Use this code when the examination images multiple skeletal areas. A scan confined to a limited area is reported with 78300.

When should the whole-body bone imaging code be used instead?

Use 78306 when the study is a whole-body bone scan. This code describes imaging of multiple areas rather than the whole skeleton.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.

Does a three-phase protocol use this code?

A three-phase bone imaging study is reported with 78315. Select the code that matches the documented imaging protocol, not simply the number of body regions.

What should the report document?

Document the skeletal areas examined and the physician’s interpretation. The report should support that multiple areas were imaged rather than a limited region or the whole body.

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 78305PPRRVU2026_Oct_nonQPP.csv, line 9,322 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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