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Tracer Scan for Vein Clots on Both Sides

Utah 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 $692 · 10th–90th $214$1,2300%20%10th90th$692Professionalmedian $214 · 10th–90th $65$3160%20%10th90th$214$50.0$100.0$200.0$500.0$1.0K

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
$213.80
Median
$213.80
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$104.71
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$436.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$302.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$199.53
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$338.84