go back

PET Scan Of Blood Flow To The Heart Muscle

Maryland rates for HCPCS 78431

A nuclear scan that shows how well blood reaches the heart muscle. A small amount of radioactive tracer is injected and a PET camera records where it travels, so areas of muscle receiving too little blood — a sign of narrowed heart arteries — stand out. It is used to investigate chest pain and to judge how severe known coronary disease is.

Rates data updated July 2026.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $126Professionalmedian $126 · 10th to 90th $85 to $339
$100$200facility $126professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$125.89
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$93.33
Typical High
$104.71
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$95.50
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$97.72
Typical High
$147.91
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$100.00
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$102.33
Typical High
$131.83