78230 describes salivary gland imaging. Use 78232 when the study evaluates gland function, such as tracer uptake and secretion.
On this page
CMS RVU26D · Effective 2026-10-01
78232 in Beaumont
Office / nonfacility
$95.33
Base rate per service
Facility setting
Not available in this setting
Base rate per service
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.
Nuclear medicine
About 78232: Salivary gland function study
Reports a nuclear medicine study evaluating salivary gland function, including tracer uptake and secretion, rather than imaging anatomy alone.
This nuclear medicine study evaluates how the salivary glands take up and release a radiotracer. A technologist administers the tracer and acquires images; a radiologist or nuclear medicine physician interprets the functional findings. It may be ordered when a clinician is assessing impaired salivary function, such as persistent dry mouth or suspected gland dysfunction. A stimulation step may be used to assess secretion and clearance as part of the study protocol.
Report 78232 when the service performed is a functional assessment, not simply salivary gland imaging or serial imaging. The record should identify the indication, tracer and acquisition performed, any stimulation used, and the interpreting findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service. The professional and technical components have separately priced modifiers in the CMS fee schedule.
CMS billing rules for 78232
- 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 RVU0.46 · 15%
- Practice expense (office) RVU2.58 · 83%
- Malpractice RVU0.05 · 2%
49
Medicare services in 2024 · #5369 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.
78232 compared with similar codes
Office rates for Beaumont, from the same CMS release.
78231 describes serial salivary gland imaging; 78232 is selected for a functional study rather than serial imaging alone.
Unlisted misc px dx nuc med
78999 is an unlisted diagnostic nuclear medicine code. Use the specific 78232 code when the performed service is a salivary gland function study.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 78232 is $108.05—$12.72 higher than the $95.33 rate in Beaumont. Both use the same code, release and participation basis.
78232 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$95.33
$108.05
$12.72 higher than Beaumont
$102.19
$6.86 higher than Beaumont
$102.77
$7.44 higher than Beaumont
$101.93
$6.60 higher than Beaumont
$102.44
$7.11 higher than Beaumont
$103.36
$8.03 higher than Beaumont
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 78232 ranges from $90.25 in Arkansas to $142.21 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 78232
Office
$98.65
Facility
Unavailable
$3.32 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 78232
Office
$119.05
Facility
Unavailable
$23.72 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 78232
Office
$119.57
Facility
Unavailable
$24.24 higher than Beaumont for the office setting.
Miami
Florida · 78232
Office
$109.30
Facility
Unavailable
$13.97 higher than Beaumont for the office setting.
Chicago
Illinois · 78232
Office
$105.91
Facility
Unavailable
$10.58 higher than Beaumont for the office setting.
Manhattan
New York · 78232
Office
$119.13
Facility
Unavailable
$23.80 higher than Beaumont for the office setting.
Alaska*
Alaska · 78232
Office
$115.74
Facility
Unavailable
$20.41 higher than Beaumont for the office setting.
Alabama
Alabama · 78232
Office
$91.71
Facility
Unavailable
$3.62 lower than Beaumont for the office setting.
Arkansas
Arkansas · 78232
Office
$90.25
Facility
Unavailable
$5.08 lower than Beaumont for the office setting.
Arizona
Arizona · 78232
Office
$100.30
Facility
Unavailable
$4.97 higher than Beaumont for the office setting.
Bakersfield
California · 78232
Office
$111.12
Facility
Unavailable
$15.79 higher than Beaumont for the office setting.
Chico
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
El Centro
California · 78232
Office
$110.98
Facility
Unavailable
$15.65 higher than Beaumont for the office setting.
Fresno
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Madera
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Merced
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Modesto
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Napa
California · 78232
Office
$130.76
Facility
Unavailable
$35.43 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 78232
Office
$118.69
Facility
Unavailable
$23.36 higher than Beaumont for the office setting.
Redding
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Rest Of California
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 78232
Office
$111.51
Facility
Unavailable
$16.18 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 78232
Office
$117.03
Facility
Unavailable
$21.70 higher than Beaumont for the office setting.
Salinas
California · 78232
Office
$116.61
Facility
Unavailable
$21.28 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 78232
Office
$119.79
Facility
Unavailable
$24.46 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 78232
Office
$139.10
Facility
Unavailable
$43.77 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 78232
Office
$139.04
Facility
Unavailable
$43.71 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 78232
Office
$142.21
Facility
Unavailable
$46.88 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 78232
Office
$141.98
Facility
Unavailable
$46.65 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 78232
Office
$114.67
Facility
Unavailable
$19.34 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 78232
Office
$121.28
Facility
Unavailable
$25.95 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 78232
Office
$117.17
Facility
Unavailable
$21.84 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 78232
Office
$122.54
Facility
Unavailable
$27.21 higher than Beaumont for the office setting.
Stockton
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Vallejo
California · 78232
Office
$130.68
Facility
Unavailable
$35.35 higher than Beaumont for the office setting.
Visalia
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Yuba City
California · 78232
Office
$110.97
Facility
Unavailable
$15.64 higher than Beaumont for the office setting.
Colorado
Colorado · 78232
Office
$108.54
Facility
Unavailable
$13.21 higher than Beaumont for the office setting.
Connecticut
Connecticut · 78232
Office
$110.50
Facility
Unavailable
$15.17 higher than Beaumont for the office setting.
Delaware
Delaware · 78232
Office
$102.08
Facility
Unavailable
$6.75 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 78232
Office
$105.68
Facility
Unavailable
$10.35 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 78232
Office
$100.26
Facility
Unavailable
$4.93 higher than Beaumont for the office setting.
Atlanta
Georgia · 78232
Office
$104.97
Facility
Unavailable
$9.64 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 78232
Office
$94.22
Facility
Unavailable
$1.11 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 78232
Office
$114.31
Facility
Unavailable
$18.98 higher than Beaumont for the office setting.
Iowa
Iowa · 78232
Office
$94.88
Facility
Unavailable
$0.45 lower than Beaumont for the office setting.
Idaho
Idaho · 78232
Office
$95.43
Facility
Unavailable
$0.10 higher than Beaumont for the office setting.
East St. Louis
Illinois · 78232
Office
$98.01
Facility
Unavailable
$2.68 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 78232
Office
$96.65
Facility
Unavailable
$1.32 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 78232
Office
$106.93
Facility
Unavailable
$11.60 higher than Beaumont for the office setting.
Indiana
Indiana · 78232
Office
$96.06
Facility
Unavailable
$0.73 higher than Beaumont for the office setting.
Kansas
Kansas · 78232
Office
$94.11
Facility
Unavailable
$1.22 lower than Beaumont for the office setting.
Kentucky
Kentucky · 78232
Office
$93.50
Facility
Unavailable
$1.83 lower than Beaumont for the office setting.
New Orleans
Louisiana · 78232
Office
$98.35
Facility
Unavailable
$3.02 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 78232
Office
$93.23
Facility
Unavailable
$2.10 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 78232
Office
$120.37
Facility
Unavailable
$25.04 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 78232
Office
$107.68
Facility
Unavailable
$12.35 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 78232
Office
$110.14
Facility
Unavailable
$14.81 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 78232
Office
$104.26
Facility
Unavailable
$8.93 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 78232
Office
$95.68
Facility
Unavailable
$0.35 higher than Beaumont for the office setting.
Southern Maine
Maine · 78232
Office
$101.82
Facility
Unavailable
$6.49 higher than Beaumont for the office setting.
Detroit
Michigan · 78232
Office
$101.34
Facility
Unavailable
$6.01 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 78232
Office
$95.93
Facility
Unavailable
$0.60 higher than Beaumont for the office setting.
Minnesota
Minnesota · 78232
Office
$104.53
Facility
Unavailable
$9.20 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 78232
Office
$97.91
Facility
Unavailable
$2.58 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 78232
Office
$99.08
Facility
Unavailable
$3.75 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 78232
Office
$91.27
Facility
Unavailable
$4.06 lower than Beaumont for the office setting.
Mississippi
Mississippi · 78232
Office
$90.79
Facility
Unavailable
$4.54 lower than Beaumont for the office setting.
Montana**
Montana · 78232
Office
$103.21
Facility
Unavailable
$7.88 higher than Beaumont for the office setting.
North Carolina
North Carolina · 78232
Office
$96.83
Facility
Unavailable
$1.50 higher than Beaumont for the office setting.
North Dakota**
North Dakota · 78232
Office
$102.22
Facility
Unavailable
$6.89 higher than Beaumont for the office setting.
Nebraska
Nebraska · 78232
Office
$95.53
Facility
Unavailable
$0.20 higher than Beaumont for the office setting.
New Hampshire
New Hampshire · 78232
Office
$106.53
Facility
Unavailable
$11.20 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 78232
Office
$118.08
Facility
Unavailable
$22.75 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 78232
Office
$111.91
Facility
Unavailable
$16.58 higher than Beaumont for the office setting.
New Mexico
New Mexico · 78232
Office
$96.39
Facility
Unavailable
$1.06 higher than Beaumont for the office setting.
Nevada**
Nevada · 78232
Office
$103.02
Facility
Unavailable
$7.69 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 78232
Office
$121.91
Facility
Unavailable
$26.58 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 78232
Office
$112.44
Facility
Unavailable
$17.11 higher than Beaumont for the office setting.
Queens
New York · 78232
Office
$120.61
Facility
Unavailable
$25.28 higher than Beaumont for the office setting.
Rest Of New York
New York · 78232
Office
$98.40
Facility
Unavailable
$3.07 higher than Beaumont for the office setting.
Ohio
Ohio · 78232
Office
$95.72
Facility
Unavailable
$0.39 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 78232
Office
$93.62
Facility
Unavailable
$1.71 lower than Beaumont for the office setting.
Portland
Oregon · 78232
Office
$112.59
Facility
Unavailable
$17.26 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 78232
Office
$102.37
Facility
Unavailable
$7.04 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 78232
Office
$107.34
Facility
Unavailable
$12.01 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 78232
Office
$96.05
Facility
Unavailable
$0.72 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 78232
Office
$104.13
Facility
Unavailable
$8.80 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 78232
Office
$106.16
Facility
Unavailable
$10.83 higher than Beaumont for the office setting.
South Carolina
South Carolina · 78232
Office
$96.41
Facility
Unavailable
$1.08 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 78232
Office
$102.10
Facility
Unavailable
$6.77 higher than Beaumont for the office setting.
Tennessee
Tennessee · 78232
Office
$94.59
Facility
Unavailable
$0.74 lower than Beaumont for the office setting.
Utah
Utah · 78232
Office
$97.87
Facility
Unavailable
$2.54 higher than Beaumont for the office setting.
Virginia
Virginia · 78232
Office
$101.25
Facility
Unavailable
$5.92 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 78232
Office
$104.13
Facility
Unavailable
$8.80 higher than Beaumont for the office setting.
Vermont
Vermont · 78232
Office
$101.52
Facility
Unavailable
$6.19 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 78232
Office
$107.58
Facility
Unavailable
$12.25 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 78232
Office
$123.23
Facility
Unavailable
$27.90 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 78232
Office
$98.43
Facility
Unavailable
$3.10 higher than Beaumont for the office setting.
West Virginia
West Virginia · 78232
Office
$92.64
Facility
Unavailable
$2.69 lower than Beaumont for the office setting.
Wyoming**
Wyoming · 78232
Office
$102.77
Facility
Unavailable
$7.44 higher than Beaumont for the office setting.
See how rates vary across the country
78232 · 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.
$90.25
$126.59
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 | $115.74 | 1 |
| AL | $91.71 | 1 |
| AR | $90.25 | 1 |
| AZ | $100.30 | 1 |
| CA | $110.97–$142.21 | 29 |
| CO | $108.54 | 1 |
| CT | $110.50 | 1 |
| DC | $119.57 | 1 |
| DE | $102.08 | 1 |
| FL | $100.26–$109.30 | 3 |
| GA | $94.22–$104.97 | 2 |
| GU | $114.31 | 1 |
| HI | $114.31 | 1 |
| IA | $94.88 | 1 |
| ID | $95.43 | 1 |
| IL | $96.65–$106.93 | 4 |
| IN | $96.06 | 1 |
| KS | $94.11 | 1 |
| KY | $93.50 | 1 |
| LA | $93.23–$98.35 | 2 |
| MA | $107.68–$120.37 | 2 |
| MD | $104.26–$119.57 | 3 |
| ME | $95.68–$101.82 | 2 |
| MI | $95.93–$101.34 | 2 |
| MN | $104.53 | 1 |
| MO | $91.27–$99.08 | 3 |
| MS | $90.79 | 1 |
| MT | $103.21 | 1 |
| NC | $96.83 | 1 |
| ND | $102.22 | 1 |
| NE | $95.53 | 1 |
| NH | $106.53 | 1 |
| NJ | $111.91–$118.08 | 2 |
| NM | $96.39 | 1 |
| NV | $103.02 | 1 |
| NY | $98.40–$121.91 | 5 |
| OH | $95.72 | 1 |
| OK | $93.62 | 1 |
| OR | $102.37–$112.59 | 2 |
| PA | $96.05–$107.34 | 2 |
| PR | $104.13 | 1 |
| RI | $106.16 | 1 |
| SC | $96.41 | 1 |
| SD | $102.10 | 1 |
| TN | $94.59 | 1 |
| TX | $95.33–$108.05 | 8 |
| UT | $97.87 | 1 |
| VA | $101.25–$119.57 | 2 |
| VI | $104.13 | 1 |
| VT | $101.52 | 1 |
| WA | $107.58–$123.23 | 2 |
| WI | $98.43 | 1 |
| WV | $92.64 | 1 |
| WY | $102.77 | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 78232 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$104.86
$95.33 × 110% = $104.86
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 78232 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
9,281
- Code
- 78232
- Physician work
- 0.46
- Practice expense
- 2.58
- Malpractice
- 0.05
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.46 | × 1.000 | 0.4600 |
| Practice expense | 2.58 | × 0.910 | 2.3478 |
| Malpractice | 0.05 | × 0.929 | 0.0465 |
| Total RVUs | 2.8543 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$95.33
Open 78232 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.46 | 1 |
| Practice expense | 2.58 | 0.91 |
| Malpractice | 0.05 | 0.929 |
(0.46 × 1 + 2.58 × 0.91 + 0.05 × 0.929) × $33.4009 = $95.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
78232 · Office / nonfacility
$95.33
Effective 2026-10-01
The base rate is $4.11 higher than on 2025-10-01, moving from $91.22 to $95.33 (4.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$91.22changed to$95.33
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.47 changed to 0.46
- Practice expense RVU 2.55 changed to 2.58
- Practice expense GPCI 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $91.22
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $95.33 | Not available in this setting | RVU26D |
| 2026-07-01 | $95.33 | Not available in this setting | RVU26C |
| 2026-04-01 | $95.33 | Not available in this setting | RVU26B |
| 2026-01-01 | $95.33 | Not available in this setting | RVU26A |
| 2025-10-01 | $91.22 | Not available in this setting | RVU25D |
| 2025-07-01 | $91.22 | Not available in this setting | RVU25C |
| 2025-04-01 | $91.22 | Not available in this setting | RVU25B |
| 2025-01-01 | $91.22 | Not available in this setting | RVU25A |
78232 billing questions
How does 78232 differ from 78230?
Use 78232 for a functional study assessing gland uptake or secretion. 78230 describes salivary gland imaging without that functional-study focus.
When is 78231 a closer fit?
78231 is for serial salivary gland imaging. Choose 78232 when the performed service is a functional assessment rather than serial imaging alone.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.
What documentation supports reporting 78232?
Document the clinical reason for testing, the tracer and functional acquisition performed, any stimulation used, and the physician's interpretation of gland function.
Is 78232 reported per gland or per image?
The CMS facts provided do not specify a per-gland or per-image unit basis. Document the study performed and follow the code's applicable reporting instructions.
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.
