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PET Scan Of Blood Flow To The Heart Muscle

Pennsylvania 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 $229 · 10th to 90th $126 to $417Professionalmedian $126 · 10th to 90th $87 to $182
$20$50$100$200$500$1Kfacility $229professional $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. 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
$229.09
Typical High
$416.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$125.89
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$138.04
Typical High
$147.91
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$107.15
Typical High
$120.23
Capital Blue Cross
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$117.49
Typical High
$173.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$112.20
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Geisinger
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$117.49
Typical High
$147.91
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$134.90
Typical High
$165.96
Independence Blue Cross
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$107.15
Typical High
$120.23
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$125.89
Median
$229.09
Typical High
$416.87
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$125.89
Typical High
$263.03
UPMC Health Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$102.33
UPMC Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$89.13
Typical High
$102.33
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$104.71
Typical High
$169.82