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Measuring Actual Blood Flow to the Heart Muscle

Texas rates for HCPCS 78434

An extra analysis performed as part of a heart scan that measures the actual quantity of blood reaching the heart muscle, both at rest and after a medicine is given to make the heart work harder. Comparing the two figures shows whether flow rises normally under stress, which can reveal narrowing that affects the whole heart evenly. It is billed in addition to the main heart scan.

Rates data updated October 2026.

How much does Measuring Actual Blood Flow to the Heart Muscle cost?

$129

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $105 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$34.67 to $1,047
FacilityA hospital or hospital-owned outpatient department$105$67.61 to $141

How much rates vary

Facilitymedian $105 · 10th to 90th $43 to $282Professionalmedian $191 · 10th to 90th $29 to $1,445
$20$100$500$2Kfacility $105professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$4,677.35
Typical High
$6,309.57
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$870.96
Median
$1,778.28
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$125.89
Typical High
$229.09
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$891.25
Typical High
$1,659.59
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$165.96
Typical High
$446.68
BCBS
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$97.72
Typical High
$194.98
BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Baylor Scott & White
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$213.80
Typical High
$218.78
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$26.92
Typical High
$30.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$173.78
Typical High
$309.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$26.92
Typical High
$53.70
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$147.91
Typical High
$251.19
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$1,778.28
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$181.97
Median
$239.88
Typical High
$239.88
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$2,290.87
Typical High
$6,309.57
Moda Health
Setting
Facility
Modifier
TC · Technical part
Typical Low
$891.25
Median
$1,778.28
Typical High
$4,897.79
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,905.46
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$125.89
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$891.25
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$37.15
Typical High
$43.65
Providence
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$1,380.38
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$173.78
Typical High
$295.12
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$26.92
Typical High
$52.48
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$147.91
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$21.88
Median
$42.66
Typical High
$229.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$28.18
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$123.03
Typical High
$223.87
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96

Where Texas sits

The same service costs 57.5 times more in Alabama than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Texas· 42nd of 51

$129

AL $1,905NM $33.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.