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Tracer Scan for Vein Clots on Both Sides

Ohio 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 Ohio, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $891 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$170 to $245
FacilityA hospital or hospital-owned outpatient department$891$479 to $1,096

How much rates vary

Facilitymedian $891 · 10th to 90th $363 to $1,349Professionalmedian $195 · 10th to 90th $126 to $339
$50$100$200$500$1Kfacility $891professional $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
Facility
Modifier
None
Typical Low
$177.83
Median
$851.14
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$380.19
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$177.83
Typical High
$851.14
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$41.69
Typical High
$141.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$186.21
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$48.98
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$134.90
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$794.33
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$229.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$177.83
Typical High
$389.05
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$741.31
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$234.42
Typical High
$489.78
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$56.23
Typical High
$114.82
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$181.97
Typical High
$380.19
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$186.21
Typical High
$288.40
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$234.42
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$954.99
Typical High
$1,348.96
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$213.80
Typical High
$512.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$50.12
Typical High
$120.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$165.96
Typical High
$398.11
6 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
Facility
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$263.03
Typical High
$562.34
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$104.71
Typical High
$223.87
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$141.25
Median
$446.68
Typical High
$831.76
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$89.13
Typical High
$426.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$35.48
Typical High
$169.82
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$141.25
Median
$141.25
Typical High
$524.81

Where Ohio 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.

Ohio· 44th 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.