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CMS RVU26D · Effective 2026-10-01

78018 in Wyoming**

Office / nonfacility

$274.78

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 78018: Whole-body thyroid metastasis imaging with additional views

Reports whole-body nuclear imaging with additional views to evaluate iodine-avid metastatic thyroid carcinoma, such as during staging or follow-up after thyroid cancer treatment.

This nuclear medicine study evaluates possible metastatic thyroid carcinoma throughout the body and includes imaging beyond the whole-body acquisition. It is commonly performed in nuclear medicine departments for patients with differentiated thyroid cancer, including after thyroidectomy when a clinician is assessing for iodine-avid disease. A nuclear medicine technologist acquires the images, and a qualified physician interprets them.

Report 78018 when the documented examination includes whole-body imaging and additional imaging; use the documented extent and acquisitions to distinguish it from limited-area or whole-body-only studies. The record should support the thyroid cancer indication, the imaging performed, and the physician’s interpretation. Medicare 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.

CMS billing rules for 78018

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 RVU0.84 · 10%
  • Practice expense (office) RVU7.32 · 89%
  • Malpractice RVU0.09 · 1%

4K

Medicare services in 2024 · #1998 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.

78018 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

78016

Thyroid metastasis imaging

Whole body

$250.90

Both involve whole-body thyroid carcinoma metastasis imaging. Choose 78018 when the examination includes additional imaging beyond the whole-body acquisition.

78015

Thyroid metastasis imaging

Limited anatomic area

$203.38

78015 is for metastasis imaging limited to an area; 78018 is the whole-body option with additional imaging.

78020

Thyroid uptake

Whole-body metastasis measurement

$78.81

78020 is the uptake-focused metastasis service. 78018 reports imaging throughout the body with additional imaging.

78014

Thyroid scan

Quantitative uptake measurement

$210.15

78014 is thyroid imaging with uptake for evaluating the thyroid; 78018 evaluates thyroid carcinoma metastases with whole-body imaging.

The same code, a different location

How does Wyoming** compare?

78018 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $274.78

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $320.44

    $45.66 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $320.93

    $46.15 higher than Wyoming**

  4. Miami

    $290.18

    $15.40 higher than Wyoming**

  5. Chicago

    $280.87

    $6.09 higher than Wyoming**

  6. Manhattan

    $318.72

    $43.94 higher than Wyoming**

  7. Alaska*

    $304.13

    $29.35 higher than Wyoming**

Other payment areas listed in Wyoming 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, 78018 ranges from $239.63 in Arkansas to $385.32 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

  • Alabama

    Alabama · 78018

    Office

    $243.69

    Facility

    Unavailable

    $31.09 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 78018

    Office

    $239.63

    Facility

    Unavailable

    $35.15 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 78018

    Office

    $267.55

    Facility

    Unavailable

    $7.23 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 78018

    Office

    $298.39

    Facility

    Unavailable

    $23.61 higher than Wyoming** for the office setting.

  • Chico

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • El Centro

    California · 78018

    Office

    $298.13

    Facility

    Unavailable

    $23.35 higher than Wyoming** for the office setting.

  • Fresno

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Madera

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Merced

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Modesto

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Napa

    California · 78018

    Office

    $353.60

    Facility

    Unavailable

    $78.82 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78018

    Office

    $319.71

    Facility

    Unavailable

    $44.93 higher than Wyoming** for the office setting.

  • Redding

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78018

    Office

    $299.09

    Facility

    Unavailable

    $24.31 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78018

    Office

    $315.03

    Facility

    Unavailable

    $40.25 higher than Wyoming** for the office setting.

  • Salinas

    California · 78018

    Office

    $313.91

    Facility

    Unavailable

    $39.13 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78018

    Office

    $322.94

    Facility

    Unavailable

    $48.16 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78018

    Office

    $376.84

    Facility

    Unavailable

    $102.06 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 78018

    Office

    $376.74

    Facility

    Unavailable

    $101.96 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 78018

    Office

    $385.32

    Facility

    Unavailable

    $110.54 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 78018

    Office

    $384.90

    Facility

    Unavailable

    $110.12 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78018

    Office

    $308.62

    Facility

    Unavailable

    $33.84 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 78018

    Office

    $327.32

    Facility

    Unavailable

    $52.54 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 78018

    Office

    $315.53

    Facility

    Unavailable

    $40.75 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 78018

    Office

    $330.75

    Facility

    Unavailable

    $55.97 higher than Wyoming** for the office setting.

  • Stockton

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Vallejo

    California · 78018

    Office

    $353.45

    Facility

    Unavailable

    $78.67 higher than Wyoming** for the office setting.

  • Visalia

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Yuba City

    California · 78018

    Office

    $298.11

    Facility

    Unavailable

    $23.33 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 78018

    Office

    $290.88

    Facility

    Unavailable

    $16.10 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 78018

    Office

    $295.58

    Facility

    Unavailable

    $20.80 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 78018

    Office

    $272.46

    Facility

    Unavailable

    $2.32 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 78018

    Office

    $281.16

    Facility

    Unavailable

    $6.38 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 78018

    Office

    $266.31

    Facility

    Unavailable

    $8.47 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 78018

    Office

    $280.16

    Facility

    Unavailable

    $5.38 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 78018

    Office

    $249.73

    Facility

    Unavailable

    $25.05 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 78018

    Office

    $307.79

    Facility

    Unavailable

    $33.01 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 78018

    Office

    $252.96

    Facility

    Unavailable

    $21.82 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 78018

    Office

    $254.41

    Facility

    Unavailable

    $20.37 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 78018

    Office

    $259.05

    Facility

    Unavailable

    $15.73 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 78018

    Office

    $255.98

    Facility

    Unavailable

    $18.80 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 78018

    Office

    $284.68

    Facility

    Unavailable

    $9.90 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 78018

    Office

    $256.16

    Facility

    Unavailable

    $18.62 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 78018

    Office

    $250.59

    Facility

    Unavailable

    $24.19 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 78018

    Office

    $248.16

    Facility

    Unavailable

    $26.62 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 78018

    Office

    $261.54

    Facility

    Unavailable

    $13.24 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 78018

    Office

    $247.31

    Facility

    Unavailable

    $27.47 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 78018

    Office

    $323.81

    Facility

    Unavailable

    $49.03 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78018

    Office

    $288.35

    Facility

    Unavailable

    $13.57 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78018

    Office

    $294.57

    Facility

    Unavailable

    $19.79 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 78018

    Office

    $278.53

    Facility

    Unavailable

    $3.75 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 78018

    Office

    $254.86

    Facility

    Unavailable

    $19.92 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 78018

    Office

    $272.25

    Facility

    Unavailable

    $2.53 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 78018

    Office

    $269.06

    Facility

    Unavailable

    $5.72 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 78018

    Office

    $254.67

    Facility

    Unavailable

    $20.11 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 78018

    Office

    $280.53

    Facility

    Unavailable

    $5.75 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 78018

    Office

    $260.57

    Facility

    Unavailable

    $14.21 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 78018

    Office

    $263.83

    Facility

    Unavailable

    $10.95 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 78018

    Office

    $241.74

    Facility

    Unavailable

    $33.04 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 78018

    Office

    $240.79

    Facility

    Unavailable

    $33.99 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 78018

    Office

    $275.55

    Facility

    Unavailable

    $0.77 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 78018

    Office

    $258.09

    Facility

    Unavailable

    $16.69 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 78018

    Office

    $273.77

    Facility

    Unavailable

    $1.01 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 78018

    Office

    $254.86

    Facility

    Unavailable

    $19.92 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 78018

    Office

    $285.21

    Facility

    Unavailable

    $10.43 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 78018

    Office

    $316.65

    Facility

    Unavailable

    $41.87 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 78018

    Office

    $299.46

    Facility

    Unavailable

    $24.68 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 78018

    Office

    $255.87

    Facility

    Unavailable

    $18.91 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 78018

    Office

    $275.30

    Facility

    Unavailable

    $0.52 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78018

    Office

    $326.14

    Facility

    Unavailable

    $51.36 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78018

    Office

    $300.68

    Facility

    Unavailable

    $25.90 higher than Wyoming** for the office setting.

  • Queens

    New York · 78018

    Office

    $323.18

    Facility

    Unavailable

    $48.40 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 78018

    Office

    $262.44

    Facility

    Unavailable

    $12.34 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 78018

    Office

    $254.31

    Facility

    Unavailable

    $20.47 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 78018

    Office

    $248.73

    Facility

    Unavailable

    $26.05 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 78018

    Office

    $302.38

    Facility

    Unavailable

    $27.60 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 78018

    Office

    $273.69

    Facility

    Unavailable

    $1.09 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78018

    Office

    $286.67

    Facility

    Unavailable

    $11.89 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78018

    Office

    $255.34

    Facility

    Unavailable

    $19.44 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 78018

    Office

    $278.20

    Facility

    Unavailable

    $3.42 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 78018

    Office

    $283.83

    Facility

    Unavailable

    $9.05 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 78018

    Office

    $256.52

    Facility

    Unavailable

    $18.26 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 78018

    Office

    $273.56

    Facility

    Unavailable

    $1.22 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 78018

    Office

    $251.92

    Facility

    Unavailable

    $22.86 lower than Wyoming** for the office setting.

  • Austin

    Texas · 78018

    Office

    $289.45

    Facility

    Unavailable

    $14.67 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 78018

    Office

    $253.34

    Facility

    Unavailable

    $21.44 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 78018

    Office

    $272.92

    Facility

    Unavailable

    $1.86 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 78018

    Office

    $274.41

    Facility

    Unavailable

    $0.37 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 78018

    Office

    $272.00

    Facility

    Unavailable

    $2.78 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 78018

    Office

    $273.55

    Facility

    Unavailable

    $1.23 lower than Wyoming** for the office setting.

  • Houston

    Texas · 78018

    Office

    $275.20

    Facility

    Unavailable

    $0.42 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 78018

    Office

    $262.80

    Facility

    Unavailable

    $11.98 lower than Wyoming** for the office setting.

  • Utah

    Utah · 78018

    Office

    $260.58

    Facility

    Unavailable

    $14.20 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 78018

    Office

    $270.52

    Facility

    Unavailable

    $4.26 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78018

    Office

    $278.20

    Facility

    Unavailable

    $3.42 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 78018

    Office

    $271.63

    Facility

    Unavailable

    $3.15 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 78018

    Office

    $288.16

    Facility

    Unavailable

    $13.38 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 78018

    Office

    $331.91

    Facility

    Unavailable

    $57.13 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 78018

    Office

    $263.21

    Facility

    Unavailable

    $11.57 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 78018

    Office

    $244.82

    Facility

    Unavailable

    $29.96 lower than Wyoming** for the office setting.

See how rates vary across the country

78018 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$239.63

$341.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$304.131
AL$243.691
AR$239.631
AZ$267.551
CA$298.11–$385.3229
CO$290.881
CT$295.581
DC$320.931
DE$272.461
FL$266.31–$290.183
GA$249.73–$280.162
GU$307.791
HI$307.791
IA$252.961
ID$254.411
IL$255.98–$284.684
IN$256.161
KS$250.591
KY$248.161
LA$247.31–$261.542
MA$288.35–$323.812
MD$278.53–$320.933
ME$254.86–$272.252
MI$254.67–$269.062
MN$280.531
MO$241.74–$263.833
MS$240.791
MT$275.551
NC$258.091
ND$273.771
NE$254.861
NH$285.211
NJ$299.46–$316.652
NM$255.871
NV$275.301
NY$262.44–$326.145
OH$254.311
OK$248.731
OR$273.69–$302.382
PA$255.34–$286.672
PR$278.201
RI$283.831
SC$256.521
SD$273.561
TN$251.921
TX$253.34–$289.458
UT$260.581
VA$270.52–$320.932
VI$278.201
VT$271.631
WA$288.16–$331.912
WI$263.211
WV$244.821
WY$274.781

Explore 78018 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78018 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$302.26

$274.78 × 110% = $302.26

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.

Compare your contract offer →

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 78018 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

9,194

Code
78018
Physician work
0.84
Practice expense
7.32
Malpractice
0.09

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 78018 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.84× 1.0000.8400
Practice expense7.32× 1.0007.3200
Malpractice0.09× 0.7400.0666
Total RVUs8.2266
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$274.78

Open 78018 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.841
Practice expense7.321
Malpractice0.090.74

(0.84 × 1 + 7.32 × 1 + 0.09 × 0.74) × $33.4009 = $274.78

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

78018 · Office / nonfacility

$274.78

Effective 2026-10-01

The base rate is $4.31 higher than on 2025-10-01, moving from $270.47 to $274.78 (1.6%).

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

    $270.47changed to$274.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.86 changed to 0.84
    • Practice expense RVU 7.45 changed to 7.32
    • Malpractice RVU 0.07 changed to 0.09
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $270.47

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$274.78Not available in this settingRVU26D
2026-07-01$274.78Not available in this settingRVU26C
2026-04-01$274.78Not available in this settingRVU26B
2026-01-01$274.78Not available in this settingRVU26A
2025-10-01$270.47Not available in this settingRVU25D
2025-07-01$270.47Not available in this settingRVU25C
2025-04-01$270.47Not available in this settingRVU25B
2025-01-01$270.47Not available in this settingRVU25A

78018 billing questions

How does 78018 differ from 78016?

78018 describes whole-body imaging with additional imaging. 78016 is the whole-body metastasis imaging option without that additional imaging distinction.

When should 78015 be used instead?

Use 78015 for thyroid carcinoma metastasis imaging limited to an area rather than a whole-body examination.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the physician’s interpretation or modifier TC for the technical service; without either modifier, the claim represents the global service.

What documentation supports 78018?

Document the thyroid carcinoma indication, the whole-body acquisition, the additional imaging performed, and the interpreting physician’s findings.

Is 78018 the right code for uptake measurement alone?

No. 78018 reports metastasis imaging with whole-body and additional imaging; 78020 is the related uptake-only option.

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.

RVUs for 78018PPRRVU2026_Oct_nonQPP.csv, line 9,194 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet