go back

PET Scan Of Blood Flow To The Heart Muscle

New Jersey 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.

Facilitymedian $417 · 10th–90th $148$7590%20%10th90th$417Professionalmedian $126 · 10th–90th $87$2630%20%10th90th$126$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$416.87
Typical High
$758.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$125.89
Typical High
$263.03
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$93.33
Typical High
$234.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$109.65
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$89.13
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$104.71
Typical High
$186.21