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Tracer Scan for Vein Clots on Both Sides

Maryland 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?

$195

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $174 to $214.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $195 · 10th to 90th $166 to $324
$200$500professional $195

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
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$173.78
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$38.02
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$194.98
Typical High
$213.80
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$43.65
Typical High
$44.67
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$154.88
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$194.98
Typical High
$426.58
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$36.31
Typical High
$87.10
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$138.04
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$234.42
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$50.12
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$181.97
Typical High
$309.03
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$213.80
Typical High
$630.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$45.71
Typical High
$128.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$165.96
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$309.03
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$66.07
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$245.47
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
$87.10
Median
$87.10
Typical High
$93.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$34.67
Typical High
$38.02
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$138.04
Median
$138.04
Typical High
$151.36

Where Maryland 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.

Maryland· 45th of 51

$195

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.