go back

Alabama rates for HCPCS 78431

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan

Facilitymedian $55 · 10th–90th $55–$550%50%100%$55Professionalmedian $126 · 10th–90th $63–$2880%10%10th90th$126$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $125.89 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $85.11 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $85.11 / $131.83