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PET Scan Of Blood Flow To The Heart Muscle

Virginia 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 $155 · 10th–90th $126$3470%20%10th90th$155Professionalmedian $126 · 10th–90th $87$3020%20%10th90th$126$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
$125.89
Median
$154.88
Typical High
$346.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$125.89
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$112.20
Typical High
$169.82
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$93.33
Typical High
$117.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$120.23
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$112.20
Typical High
$117.49
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$123.03
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$125.89
Typical High
$194.98