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Tennessee 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 $372 · 10th–90th $372$5500%50%90th$372Professionalmedian $162 · 10th–90th $87$3720%10%10th90th$162$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $162.18 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $91.20 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $141.25 / $204.17
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $181.97