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PET Scan Of Blood Flow To The Heart Muscle

South Dakota 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 $126 · 10th to 90th $126 to $126Professionalmedian $214 · 10th to 90th $83 to $240
$100.0$200.0$500.0facility $126professional $214

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. Small sample; interpret with caution. 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
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$213.80
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$120.23
Typical High
$257.04
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$158.49
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$169.82
Median
$190.55
Typical High
$194.98