go back

PET Scan Of Blood Flow To The Heart Muscle

Wisconsin 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 $263 · 10th to 90th $100 to $479Professionalmedian $132 · 10th to 90th $85 to $589
$100.0$200.0$500.0$1.0K$2.0Kfacility $263professional $132

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
$100.00
Median
$100.00
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$100.00
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$131.83
Typical High
$501.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$234.42
Median
$269.15
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$316.23
Typical High
$354.81
DeanCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$173.78
Median
$199.53
Typical High
$245.47
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$181.97
Typical High
$549.54
Network Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$151.36
Typical High
$229.09
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$204.17
Median
$549.54
Typical High
$549.54
Quartz
Setting
Professional
Modifier
26 · Professional part
Typical Low
$144.54
Median
$457.09
Typical High
$549.54
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$204.17
Median
$251.19
Typical High
$537.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$165.96
Typical High
$575.44