$149.19–$236.03
Use 78103 when the examination covers multiple areas. A study confined to a limited area is reported with 78102.
On this page
CMS RVU26D · Effective 2026-10-01
78102 Bone marrow imaging Medicare reimbursement rates
A limited-field radionuclide bone marrow scan used to assess marrow distribution in a defined region rather than multiple regions or the whole body. Compare 78102 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 78102?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$136.88–$218.75
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $81.87 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 78102 pays more and less
109 payment localities
$136.88 to $218.75
Nuclear medicine
About 78102: Limited-area bone marrow imaging
A limited-field radionuclide bone marrow scan used to assess marrow distribution in a defined region rather than multiple regions or the whole body.
78102 represents a limited-field radionuclide bone marrow study, rather than imaging several separate regions or surveying the entire body. Nuclear medicine staff administer a marrow-localizing radiopharmaceutical and acquire gamma-camera images of the specified region; a nuclear medicine physician interprets the marrow distribution and any abnormalities. The study may be used to evaluate a focused question about marrow activity. The record should identify the imaged region and the clinical reason for the examination.
Choose this code by the extent actually imaged: a limited area supports 78102, multiple areas support 78103, and whole-body imaging supports 78104. The imaging record and interpretation should substantiate the study’s scope and findings. CMS recognizes professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or neither modifier when billing the global service. The interpreting physician and the entity performing the acquisition may bill their respective components.
CMS billing rules for 78102
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.54 · 11%
- Practice expense (office) RVU4.10 · 87%
- Malpractice RVU0.07 · 1%
534
Medicare services in 2024 · #3495 by national volume
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.
78102 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$192.69–$307.78
Use 78104 for whole-body bone marrow imaging; 78102 represents a limited-field examination.
$225.68–$362.02
78306 is whole-body skeletal imaging, not a limited-field bone marrow study. Select based on whether the examination evaluates skeletal uptake or marrow distribution.
See how rates vary across the country
78102 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$136.88
$194.22
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $174.19 | 1 |
| AL | $139.19 | 1 |
| AR | $136.88 | 1 |
| AZ | $152.74 | 1 |
| CA | $169.69–$218.75 | 29 |
| CO | $165.79 | 1 |
| CT | $168.71 | 1 |
| DC | $182.93 | 1 |
| DE | $155.53 | 1 |
| FL | $152.47–$166.51 | 3 |
| GA | $142.98–$160.03 | 2 |
| GU | $175.10 | 1 |
| HI | $175.10 | 1 |
| IA | $144.27 | 1 |
| ID | $145.13 | 1 |
| IL | $146.72–$162.95 | 4 |
| IN | $146.12 | 1 |
| KS | $143.01 | 1 |
| KY | $141.92 | 1 |
| LA | $141.47–$149.56 | 2 |
| MA | $164.39–$184.37 | 2 |
| MD | $158.95–$182.93 | 3 |
| ME | $145.48–$155.22 | 2 |
| MI | $145.71–$154.13 | 2 |
| MN | $159.64 | 1 |
| MO | $138.36–$150.75 | 3 |
| MS | $137.67 | 1 |
| MT | $157.31 | 1 |
| NC | $147.30 | 1 |
| ND | $155.93 | 1 |
| NE | $145.32 | 1 |
| NH | $162.64 | 1 |
| NJ | $170.87–$180.52 | 2 |
| NM | $146.42 | 1 |
| NV | $157.06 | 1 |
| NY | $149.78–$186.36 | 5 |
| OH | $145.42 | 1 |
| OK | $142.14 | 1 |
| OR | $156.08–$172.21 | 2 |
| PA | $145.96–$163.71 | 2 |
| PR | $158.79 | 1 |
| RI | $161.93 | 1 |
| SC | $146.56 | 1 |
| SD | $155.77 | 1 |
| TN | $143.77 | 1 |
| TX | $144.83–$165.03 | 8 |
| UT | $148.86 | 1 |
| VA | $154.30–$182.93 | 2 |
| VI | $158.79 | 1 |
| VT | $154.79 | 1 |
| WA | $164.25–$188.88 | 2 |
| WI | $149.95 | 1 |
| WV | $140.39 | 1 |
| WY | $156.71 | 1 |
Compare 78102 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $139.19 | Facility Unavailable |
| Alaska* | Office $174.19 | Facility Unavailable |
| Arizona | Office $152.74 | Facility Unavailable |
| Arkansas | Office $136.88 | Facility Unavailable |
| Atlanta | Office $160.03 | Facility Unavailable |
| Austin | Office $165.03 | Facility Unavailable |
| Bakersfield | Office $169.89 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $168.16 | Facility Unavailable |
| Beaumont | Office $144.83 | Facility Unavailable |
| Brazoria | Office $155.72 | Facility Unavailable |
| Chicago | Office $161.16 | Facility Unavailable |
| Chico | Office $169.69 | Facility Unavailable |
| Colorado | Office $165.79 | Facility Unavailable |
| Connecticut | Office $168.71 | Facility Unavailable |
| Dallas | Office $156.60 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $182.93 | Facility Unavailable |
| Delaware | Office $155.53 | Facility Unavailable |
| Detroit | Office $154.13 | Facility Unavailable |
| East St. Louis | Office $148.73 | Facility Unavailable |
| El Centro | Office $169.70 | Facility Unavailable |
| Fort Lauderdale | Office $160.99 | Facility Unavailable |
| Fort Worth | Office $155.26 | Facility Unavailable |
| Fresno | Office $169.69 | Facility Unavailable |
| Galveston | Office $156.10 | Facility Unavailable |
| Hanford-Corcoran | Office $169.69 | Facility Unavailable |
| Hawaii, Guam | Office $175.10 | Facility Unavailable |
| Houston | Office $157.38 | Facility Unavailable |
| Idaho | Office $145.13 | Facility Unavailable |
| Indiana | Office $146.12 | Facility Unavailable |
| Iowa | Office $144.27 | Facility Unavailable |
| Kansas | Office $143.01 | Facility Unavailable |
| Kentucky | Office $141.92 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $182.33 | Facility Unavailable |
| Madera | Office $169.69 | Facility Unavailable |
| Manhattan | Office $182.03 | Facility Unavailable |
| Merced | Office $169.69 | Facility Unavailable |
| Metropolitan Boston | Office $184.37 | Facility Unavailable |
| Metropolitan Kansas City | Office $148.91 | Facility Unavailable |
| Metropolitan Philadelphia | Office $163.71 | Facility Unavailable |
| Metropolitan St. Louis | Office $150.75 | Facility Unavailable |
| Miami | Office $166.51 | Facility Unavailable |
| Minnesota | Office $159.64 | Facility Unavailable |
| Mississippi | Office $137.67 | Facility Unavailable |
| Modesto | Office $169.69 | Facility Unavailable |
| Montana** | Office $157.31 | Facility Unavailable |
| Napa | Office $200.85 | Facility Unavailable |
| Nebraska | Office $145.32 | Facility Unavailable |
| Nevada** | Office $157.06 | Facility Unavailable |
| New Hampshire | Office $162.64 | Facility Unavailable |
| New Mexico | Office $146.42 | Facility Unavailable |
| New Orleans | Office $149.56 | Facility Unavailable |
| North Carolina | Office $147.30 | Facility Unavailable |
| North Dakota** | Office $155.93 | Facility Unavailable |
| Northern Nj | Office $180.52 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $186.36 | Facility Unavailable |
| Ohio | Office $145.42 | Facility Unavailable |
| Oklahoma | Office $142.14 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $181.87 | Facility Unavailable |
| Portland | Office $172.21 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $171.63 | Facility Unavailable |
| Puerto Rico | Office $158.79 | Facility Unavailable |
| Queens | Office $184.43 | Facility Unavailable |
| Redding | Office $169.69 | Facility Unavailable |
| Rest Of California | Office $169.69 | Facility Unavailable |
| Rest Of Florida | Office $152.47 | Facility Unavailable |
| Rest Of Georgia | Office $142.98 | Facility Unavailable |
| Rest Of Illinois | Office $146.72 | Facility Unavailable |
| Rest Of Louisiana | Office $141.47 | Facility Unavailable |
| Rest Of Maine | Office $145.48 | Facility Unavailable |
| Rest Of Maryland | Office $158.95 | Facility Unavailable |
| Rest Of Massachusetts | Office $164.39 | Facility Unavailable |
| Rest Of Michigan | Office $145.71 | Facility Unavailable |
| Rest Of Missouri | Office $138.36 | Facility Unavailable |
| Rest Of New Jersey | Office $170.87 | Facility Unavailable |
| Rest Of New York | Office $149.78 | Facility Unavailable |
| Rest Of Oregon | Office $156.08 | Facility Unavailable |
| Rest Of Pennsylvania | Office $145.96 | Facility Unavailable |
| Rest Of Texas | Office $150.11 | Facility Unavailable |
| Rest Of Washington | Office $164.25 | Facility Unavailable |
| Rhode Island | Office $161.93 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $170.45 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $179.20 | Facility Unavailable |
| Salinas | Office $178.57 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $183.63 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $213.91 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $213.83 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $218.75 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $218.42 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $175.58 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $186.06 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $179.47 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $188.00 | Facility Unavailable |
| Seattle (King Cnty) | Office $188.88 | Facility Unavailable |
| South Carolina | Office $146.56 | Facility Unavailable |
| South Dakota** | Office $155.77 | Facility Unavailable |
| Southern Maine | Office $155.22 | Facility Unavailable |
| Stockton | Office $169.69 | Facility Unavailable |
| Suburban Chicago | Office $162.95 | Facility Unavailable |
| Tennessee | Office $143.77 | Facility Unavailable |
| Utah | Office $148.86 | Facility Unavailable |
| Vallejo | Office $200.74 | Facility Unavailable |
| Vermont | Office $154.79 | Facility Unavailable |
| Virgin Islands | Office $158.79 | Facility Unavailable |
| Virginia | Office $154.30 | Facility Unavailable |
| Visalia | Office $169.69 | Facility Unavailable |
| West Virginia | Office $140.39 | Facility Unavailable |
| Wisconsin | Office $149.95 | Facility Unavailable |
| Wyoming** | Office $156.71 | Facility Unavailable |
| Yuba City | Office $169.69 | Facility Unavailable |
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78102 billing questions
How is 78102 distinguished from 78103 and 78104?
Choose 78102 for imaging of a limited area. Use 78103 for multiple areas and 78104 for whole-body imaging; the documented scope of the study drives the choice.
When should modifier 26 or TC be reported?
Use modifier 26 when billing only the physician’s interpretation and modifier TC when billing only the technical service. Bill the global service without either component modifier.
What documentation supports 78102?
Document the clinical reason, the specific region imaged, the technical acquisition, and the physician’s interpretation. The record should support that the examination was limited in scope.
Are units based on the number of images?
The distinction among 78102, 78103, and 78104 is the extent of the examination, not a count of individual images. Report the code that matches the documented area or areas imaged.
Can the professional and technical services be billed separately?
Yes. The interpreting physician may report the professional component with modifier 26, while the entity furnishing the equipment and staff may report the technical component with modifier TC.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
9,21278099,,Unlisted endocrine px dx nuc,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21378099,26,Unlisted endocrine px dx nuc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21478099,TC,Unlisted endocrine px dx nuc,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21578102,,Bone marrow imaging ltd,A,,0.54,4.10,,4.10,NA,0.07,4.71,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.27,12.27,0.15
9,21678102,26,Bone marrow imaging ltd,A,,0.54,0.17,,0.17,,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,21778102,TC,Bone marrow imaging ltd,A,,0.00,3.93,,3.93,NA,0.04,3.97,3.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,12.10,12.10,0.12
9,21878103,,Bone marrow imaging mult,A,,0.73,4.32,,4.32,NA,0.05,5.10,5.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,12.24,12.24,0.13