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Tracer Scan for Vein Clots on Both Sides

Arizona rates for HCPCS 78458

A scan that uses a small amount of radioactive tracer given through a vein, with a camera following it to show where flow through the veins is blocked by a clot. This version covers imaging the veins on both sides of the body.

Rates data updated October 2026.

How much does Tracer Scan for Vein Clots on Both Sides cost?

$257

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $617 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$182 to $407
FacilityA hospital or hospital-owned outpatient department$617$295 to $851

How much rates vary

Facilitymedian $617 · 10th to 90th $158 to $977Professionalmedian $219 · 10th to 90th $162 to $1,479
$200$500$1Kfacility $617professional $219

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
TC · Technical part
Typical Low
$223.87
Median
$954.99
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$630.96
Typical High
$933.25
BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$218.78
Typical High
$512.86
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$102.33
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$173.78
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$851.14
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$223.87
Typical High
$354.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$47.86
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$173.78
Typical High
$281.84
Medica
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$407.38
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$457.09
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$104.71
Typical High
$489.78
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$371.54
Typical High
$1,047.13
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$181.97
Typical High
$389.05
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$39.81
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$141.25
Typical High
$309.03
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Arizona sits

The same service costs 5.0 times more in Alaska than in Texas. 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.

Arizona· 28th of 51

$257

AK $776TX $155

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.