go back

Wisconsin 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 $182 · 10th–90th $100–$4270%20%10th90th$182Professionalmedian $126 · 10th–90th $85–$5500%10%10th90th$126$100.0$200.0$500.0$1.0K$2.0K

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
$100.00 / $100.00 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $131.83 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $269.15 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $316.23 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $199.53 / $245.47
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $181.97 / $549.54
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $151.36 / $229.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $549.54 / $549.54
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $457.09 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $251.19 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $173.78 / $575.44