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PET Scan Of Blood Flow To The Heart Muscle

Texas 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.

Facilitymedian $126 · 10th–90th $87$5500%20%40%10th90th$126Professionalmedian $126 · 10th–90th $85$2630%10%10th90th$126$10.0$20.0$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$87.10
Median
$125.89
Typical High
$154.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$125.89
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$72.44
Typical High
$144.54
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$107.15
Typical High
$177.83
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$549.54
Median
$691.83
Typical High
$691.83
Moda Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$87.10
Median
$114.82
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$147.91
Typical High
$269.15
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$97.72
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$85.11
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$87.10