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Tracer Scan for Vein Clots on Both Sides

Wisconsin 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 $525 · 10th–90th $200$1,5140%5%10%10th90th$525Professionalmedian $389 · 10th–90th $186$1,0470%10%10th90th$389$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$199.53
Median
$288.40
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$691.83
Typical High
$776.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,380.38
Typical High
$1,905.46
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$257.04
Network Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$389.05
Network Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$2,187.76
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$831.76
Quartz
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,258.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$1,000.00
Typical High
$1,479.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Security Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$870.96