go back

Tracer Scan for Vein Clots on Both Sides

Illinois 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 July 2026.

Facilitymedian $437 · 10th–90th $186$1,3800%10%20%10th90th$437Professionalmedian $200 · 10th–90th $166$3550%10%20%10th90th$200$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$407.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$758.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$338.84
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$389.05