go back

Ohio 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 $120 · 10th–90th $100–$3390%50%10th90th$120Professionalmedian $126 · 10th–90th $85–$2140%10%20%10th90th$126$1.0$5.0$20.0$100.0$500.0$2.0K

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
$100.00 / $120.23 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $89.13 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $204.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $123.03 / $204.17
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $107.15 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $95.50 / $165.96