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PET Scan Of Blood Flow To The Heart Muscle

Michigan 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 $91 · 10th to 90th $87 to $110Professionalmedian $93 · 10th to 90th $85 to $263
$100$200facility $91professional $93

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. 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
$87.10
Median
$91.20
Typical High
$109.65
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$89.13
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$158.49
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$104.71
Typical High
$190.55
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$77.62
Median
$181.97
Typical High
$213.80
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$97.72
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$147.91
Typical High
$158.49
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$97.72
Typical High
$144.54