go back

New York 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 $132 · 10th–90th $102–$2880%20%10th90th$132Professionalmedian $126 · 10th–90th $78–$2630%20%10th90th$126$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $134.90 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $87.10 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $100.00 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $128.82 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $117.49 / $181.97
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $100.00 / $186.21
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $125.89 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $234.42
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $93.33 / $109.65
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $104.71 / $251.19