Choose 78202 when vascular-flow imaging is performed with the liver study; 78201 describes liver imaging without that phase.
On this page
CMS RVU26D · Effective 2026-10-01
78202 in Redding
Office / nonfacility
$207.86
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 78202: Liver imaging with vascular flow
Reports radionuclide liver imaging that includes vascular-flow acquisition, used when the diagnostic study evaluates hepatic perfusion along with liver distribution.
This nuclear medicine study images the liver and includes acquisition of a vascular-flow phase. A nuclear medicine technologist performs the imaging in a hospital or other diagnostic imaging department, and a qualified practitioner interprets the study. The flow images add information about hepatic perfusion to the images showing distribution in the liver; the order and report should identify the clinical question and the imaging performed.
Select this code when the study covers the liver and includes vascular-flow imaging. Use the static-only liver code when flow imaging is not performed, and distinguish liver-only imaging from studies that also include the spleen. The record should support the liver study, the flow acquisition, and the interpretation. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or no component modifier for the global service. Both modifiers are separately priced.
CMS billing rules for 78202
- 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 RVU0.50 · 9%
- Practice expense (office) RVU5.18 · 90%
- Malpractice RVU0.07 · 1%
115
Medicare services in 2024 · #4776 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.
78202 compared with similar codes
Office rates for Redding, from the same CMS release.
78216 covers imaging of both the liver and spleen with vascular flow. Use 78202 for a liver-only study with flow.
78226 is hepatobiliary system imaging, not liver imaging with a vascular-flow phase; select according to the imaging study performed.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 78202 is $208.07—$0.21 higher than the $207.86 rate in Redding. Both use the same code, release and participation basis.
78202 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$207.86
$208.07
$0.21 higher than Redding
$207.86
The same base rate than Redding
$207.88
$0.02 higher than Redding
$207.86
The same base rate than Redding
$207.86
The same base rate than Redding
$15.76 higher than Redding
Other payment areas listed in California 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, 78202 ranges from $166.53 in Arkansas to $269.28 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
Madera
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Merced
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Modesto
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Napa
California · 78202
Office
$246.98
Facility
Unavailable
$39.12 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 78202
Office
$223.13
Facility
Unavailable
$15.27 higher than Redding for the office setting.
Rest Of California
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 78202
Office
$208.62
Facility
Unavailable
$0.76 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 78202
Office
$219.77
Facility
Unavailable
$11.91 higher than Redding for the office setting.
Salinas
California · 78202
Office
$219.00
Facility
Unavailable
$11.14 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 78202
Office
$225.40
Facility
Unavailable
$17.54 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 78202
Office
$263.31
Facility
Unavailable
$55.45 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 78202
Office
$263.23
Facility
Unavailable
$55.37 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 78202
Office
$269.28
Facility
Unavailable
$61.42 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 78202
Office
$268.96
Facility
Unavailable
$61.10 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 78202
Office
$215.30
Facility
Unavailable
$7.44 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 78202
Office
$228.52
Facility
Unavailable
$20.66 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 78202
Office
$220.16
Facility
Unavailable
$12.30 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 78202
Office
$230.92
Facility
Unavailable
$23.06 higher than Redding for the office setting.
Stockton
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Vallejo
California · 78202
Office
$246.86
Facility
Unavailable
$39.00 higher than Redding for the office setting.
Visalia
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Yuba City
California · 78202
Office
$207.86
Facility
Unavailable
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 78202
Office
$224.02
Facility
Unavailable
$16.16 higher than Redding for the office setting.
Miami
Florida · 78202
Office
$202.72
Facility
Unavailable
$5.14 lower than Redding for the office setting.
Chicago
Illinois · 78202
Office
$196.06
Facility
Unavailable
$11.80 lower than Redding for the office setting.
Manhattan
New York · 78202
Office
$222.52
Facility
Unavailable
$14.66 higher than Redding for the office setting.
Alaska*
Alaska · 78202
Office
$210.60
Facility
Unavailable
$2.74 higher than Redding for the office setting.
Alabama
Alabama · 78202
Office
$169.41
Facility
Unavailable
$38.45 lower than Redding for the office setting.
Arkansas
Arkansas · 78202
Office
$166.53
Facility
Unavailable
$41.33 lower than Redding for the office setting.
Arizona
Arizona · 78202
Office
$186.35
Facility
Unavailable
$21.51 lower than Redding for the office setting.
Colorado
Colorado · 78202
Office
$202.82
Facility
Unavailable
$5.04 lower than Redding for the office setting.
Connecticut
Connecticut · 78202
Office
$206.20
Facility
Unavailable
$1.66 lower than Redding for the office setting.
Delaware
Delaware · 78202
Office
$189.83
Facility
Unavailable
$18.03 lower than Redding for the office setting.
Fort Lauderdale
Florida · 78202
Office
$196.19
Facility
Unavailable
$11.67 lower than Redding for the office setting.
Rest Of Florida
Florida · 78202
Office
$185.62
Facility
Unavailable
$22.24 lower than Redding for the office setting.
Atlanta
Georgia · 78202
Office
$195.34
Facility
Unavailable
$12.52 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 78202
Office
$173.82
Facility
Unavailable
$34.04 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 78202
Office
$214.77
Facility
Unavailable
$6.91 higher than Redding for the office setting.
Iowa
Iowa · 78202
Office
$175.94
Facility
Unavailable
$31.92 lower than Redding for the office setting.
Idaho
Idaho · 78202
Office
$176.98
Facility
Unavailable
$30.88 lower than Redding for the office setting.
East St. Louis
Illinois · 78202
Office
$180.58
Facility
Unavailable
$27.28 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 78202
Office
$178.32
Facility
Unavailable
$29.54 lower than Redding for the office setting.
Suburban Chicago
Illinois · 78202
Office
$198.65
Facility
Unavailable
$9.21 lower than Redding for the office setting.
Indiana
Indiana · 78202
Office
$178.22
Facility
Unavailable
$29.64 lower than Redding for the office setting.
Kansas
Kansas · 78202
Office
$174.29
Facility
Unavailable
$33.57 lower than Redding for the office setting.
Kentucky
Kentucky · 78202
Office
$172.65
Facility
Unavailable
$35.21 lower than Redding for the office setting.
New Orleans
Louisiana · 78202
Office
$182.17
Facility
Unavailable
$25.69 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 78202
Office
$172.06
Facility
Unavailable
$35.80 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 78202
Office
$226.05
Facility
Unavailable
$18.19 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 78202
Office
$201.02
Facility
Unavailable
$6.84 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 78202
Office
$205.51
Facility
Unavailable
$2.35 lower than Redding for the office setting.
Rest Of Maryland
Maryland · 78202
Office
$194.11
Facility
Unavailable
$13.75 lower than Redding for the office setting.
Rest Of Maine
Maine · 78202
Office
$177.33
Facility
Unavailable
$30.53 lower than Redding for the office setting.
Southern Maine
Maine · 78202
Office
$189.64
Facility
Unavailable
$18.22 lower than Redding for the office setting.
Detroit
Michigan · 78202
Office
$187.60
Facility
Unavailable
$20.26 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 78202
Office
$177.30
Facility
Unavailable
$30.56 lower than Redding for the office setting.
Minnesota
Minnesota · 78202
Office
$195.43
Facility
Unavailable
$12.43 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 78202
Office
$181.45
Facility
Unavailable
$26.41 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 78202
Office
$183.76
Facility
Unavailable
$24.10 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 78202
Office
$168.12
Facility
Unavailable
$39.74 lower than Redding for the office setting.
Mississippi
Mississippi · 78202
Office
$167.40
Facility
Unavailable
$40.46 lower than Redding for the office setting.
Montana**
Montana · 78202
Office
$192.05
Facility
Unavailable
$15.81 lower than Redding for the office setting.
North Carolina
North Carolina · 78202
Office
$179.62
Facility
Unavailable
$28.24 lower than Redding for the office setting.
North Dakota**
North Dakota · 78202
Office
$190.67
Facility
Unavailable
$17.19 lower than Redding for the office setting.
Nebraska
Nebraska · 78202
Office
$177.28
Facility
Unavailable
$30.58 lower than Redding for the office setting.
New Hampshire
New Hampshire · 78202
Office
$198.86
Facility
Unavailable
$9.00 lower than Redding for the office setting.
Northern Nj
New Jersey · 78202
Office
$220.95
Facility
Unavailable
$13.09 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 78202
Office
$208.87
Facility
Unavailable
$1.01 higher than Redding for the office setting.
New Mexico
New Mexico · 78202
Office
$178.16
Facility
Unavailable
$29.70 lower than Redding for the office setting.
Nevada**
Nevada · 78202
Office
$191.84
Facility
Unavailable
$16.02 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 78202
Office
$227.83
Facility
Unavailable
$19.97 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 78202
Office
$209.73
Facility
Unavailable
$1.87 higher than Redding for the office setting.
Queens
New York · 78202
Office
$225.65
Facility
Unavailable
$17.79 higher than Redding for the office setting.
Rest Of New York
New York · 78202
Office
$182.71
Facility
Unavailable
$25.15 lower than Redding for the office setting.
Ohio
Ohio · 78202
Office
$177.02
Facility
Unavailable
$30.84 lower than Redding for the office setting.
Oklahoma
Oklahoma · 78202
Office
$173.02
Facility
Unavailable
$34.84 lower than Redding for the office setting.
Portland
Oregon · 78202
Office
$210.93
Facility
Unavailable
$3.07 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 78202
Office
$190.67
Facility
Unavailable
$17.19 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 78202
Office
$199.90
Facility
Unavailable
$7.96 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 78202
Office
$177.74
Facility
Unavailable
$30.12 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 78202
Office
$193.92
Facility
Unavailable
$13.94 lower than Redding for the office setting.
Rhode Island
Rhode Island · 78202
Office
$197.83
Facility
Unavailable
$10.03 lower than Redding for the office setting.
South Carolina
South Carolina · 78202
Office
$178.56
Facility
Unavailable
$29.30 lower than Redding for the office setting.
South Dakota**
South Dakota · 78202
Office
$190.50
Facility
Unavailable
$17.36 lower than Redding for the office setting.
Tennessee
Tennessee · 78202
Office
$175.23
Facility
Unavailable
$32.63 lower than Redding for the office setting.
Austin
Texas · 78202
Office
$201.86
Facility
Unavailable
$6.00 lower than Redding for the office setting.
Beaumont
Texas · 78202
Office
$176.32
Facility
Unavailable
$31.54 lower than Redding for the office setting.
Brazoria
Texas · 78202
Office
$190.12
Facility
Unavailable
$17.74 lower than Redding for the office setting.
Dallas
Texas · 78202
Office
$191.18
Facility
Unavailable
$16.68 lower than Redding for the office setting.
Fort Worth
Texas · 78202
Office
$189.48
Facility
Unavailable
$18.38 lower than Redding for the office setting.
Galveston
Texas · 78202
Office
$190.58
Facility
Unavailable
$17.28 lower than Redding for the office setting.
Houston
Texas · 78202
Office
$191.86
Facility
Unavailable
$16.00 lower than Redding for the office setting.
Rest Of Texas
Texas · 78202
Office
$183.00
Facility
Unavailable
$24.86 lower than Redding for the office setting.
Utah
Utah · 78202
Office
$181.44
Facility
Unavailable
$26.42 lower than Redding for the office setting.
Virginia
Virginia · 78202
Office
$188.43
Facility
Unavailable
$19.43 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 78202
Office
$193.92
Facility
Unavailable
$13.94 lower than Redding for the office setting.
Vermont
Vermont · 78202
Office
$189.17
Facility
Unavailable
$18.69 lower than Redding for the office setting.
Rest Of Washington
Washington · 78202
Office
$200.88
Facility
Unavailable
$6.98 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 78202
Office
$231.74
Facility
Unavailable
$23.88 higher than Redding for the office setting.
Wisconsin
Wisconsin · 78202
Office
$183.17
Facility
Unavailable
$24.69 lower than Redding for the office setting.
West Virginia
West Virginia · 78202
Office
$170.40
Facility
Unavailable
$37.46 lower than Redding for the office setting.
Wyoming**
Wyoming · 78202
Office
$191.45
Facility
Unavailable
$16.41 lower than Redding for the office setting.
See how rates vary across the country
78202 · 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.
$166.53
$238.57
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 | $210.60 | 1 |
| AL | $169.41 | 1 |
| AR | $166.53 | 1 |
| AZ | $186.35 | 1 |
| CA | $207.86–$269.28 | 29 |
| CO | $202.82 | 1 |
| CT | $206.20 | 1 |
| DC | $224.02 | 1 |
| DE | $189.83 | 1 |
| FL | $185.62–$202.72 | 3 |
| GA | $173.82–$195.34 | 2 |
| GU | $214.77 | 1 |
| HI | $214.77 | 1 |
| IA | $175.94 | 1 |
| ID | $176.98 | 1 |
| IL | $178.32–$198.65 | 4 |
| IN | $178.22 | 1 |
| KS | $174.29 | 1 |
| KY | $172.65 | 1 |
| LA | $172.06–$182.17 | 2 |
| MA | $201.02–$226.05 | 2 |
| MD | $194.11–$224.02 | 3 |
| ME | $177.33–$189.64 | 2 |
| MI | $177.30–$187.60 | 2 |
| MN | $195.43 | 1 |
| MO | $168.12–$183.76 | 3 |
| MS | $167.40 | 1 |
| MT | $192.05 | 1 |
| NC | $179.62 | 1 |
| ND | $190.67 | 1 |
| NE | $177.28 | 1 |
| NH | $198.86 | 1 |
| NJ | $208.87–$220.95 | 2 |
| NM | $178.16 | 1 |
| NV | $191.84 | 1 |
| NY | $182.71–$227.83 | 5 |
| OH | $177.02 | 1 |
| OK | $173.02 | 1 |
| OR | $190.67–$210.93 | 2 |
| PA | $177.74–$199.90 | 2 |
| PR | $193.92 | 1 |
| RI | $197.83 | 1 |
| SC | $178.56 | 1 |
| SD | $190.50 | 1 |
| TN | $175.23 | 1 |
| TX | $176.32–$201.86 | 8 |
| UT | $181.44 | 1 |
| VA | $188.43–$224.02 | 2 |
| VI | $193.92 | 1 |
| VT | $189.17 | 1 |
| WA | $200.88–$231.74 | 2 |
| WI | $183.17 | 1 |
| WV | $170.40 | 1 |
| WY | $191.45 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 78202 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$228.65
$207.86 × 110% = $228.65
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 78202 in Redding.
PPRRVU2026_Oct_nonQPP.csv
9,260
- Code
- 78202
- Physician work
- 0.50
- Practice expense
- 5.18
- Malpractice
- 0.07
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.017 | 0.5085 |
| Practice expense | 5.18 | × 1.096 | 5.6773 |
| Malpractice | 0.07 | × 0.536 | 0.0375 |
| Total RVUs | 6.2233 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$207.86
Open 78202 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1.017 |
| Practice expense | 5.18 | 1.096 |
| Malpractice | 0.07 | 0.536 |
(0.5 × 1.017 + 5.18 × 1.096 + 0.07 × 0.536) × $33.4009 = $207.86
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
78202 · Office / nonfacility
$207.86
Effective 2026-10-01
The base rate is $4.25 higher than on 2025-10-01, moving from $203.61 to $207.86 (2.1%).
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
$203.61changed to$207.86
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.51 changed to 0.50
- Practice expense RVU 5.25 changed to 5.18
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $203.61
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 | $207.86 | Not available in this setting | RVU26D |
| 2026-07-01 | $207.86 | Not available in this setting | RVU26C |
| 2026-04-01 | $207.86 | Not available in this setting | RVU26B |
| 2026-01-01 | $207.86 | Not available in this setting | RVU26A |
| 2025-10-01 | $203.61 | Not available in this setting | RVU25D |
| 2025-07-01 | $203.61 | Not available in this setting | RVU25C |
| 2025-04-01 | $203.61 | Not available in this setting | RVU25B |
| 2025-01-01 | $203.61 | Not available in this setting | RVU25A |
78202 billing questions
How does this differ from 78201?
78202 includes a vascular-flow phase with liver imaging. 78201 is for liver imaging without that flow phase.
When should 78216 be used instead?
78216 includes both liver and spleen imaging with vascular flow. Use 78202 when the performed study images the liver only.
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.
What should the report document?
Document the liver imaging and vascular-flow acquisition, the clinical indication, and the interpreting practitioner's findings. The record should make clear whether the spleen was also imaged.
Is each image or flow acquisition billed as a separate unit?
The code represents the liver imaging study with vascular flow, not each individual image. Report the study performed rather than counting its image frames as separate services.
Is this the same as hepatobiliary imaging?
No. 78202 evaluates liver distribution with vascular-flow imaging; 78226 concerns hepatobiliary system imaging and addresses a different imaging question.
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.
