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Heart PET Scan for Muscle Viability

Rhode Island rates for HCPCS 78459

A PET scan of the heart showing how well the heart muscle is using sugar for energy. Muscle that still takes up the tracer is alive but underworking, while muscle that takes up none has been permanently scarred. The result tells doctors whether restoring blood flow to a weak area is likely to help it recover.

Rates data updated October 2026.

How much does Heart PET Scan for Muscle Viability cost?

$1,413

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $2,754 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,349$912 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,754$2,399 to $3,236

How much rates vary

Facilitymedian $2,754 · 10th to 90th $2,188 to $3,802Professionalmedian $1,349 · 10th to 90th $794 to $1,995
$100$200$500$1K$2K$5Kfacility $2,754professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$1,318.26
Median
$1,905.46
Typical High
$1,905.46
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$3,801.89
BCBS Rhode Island
Setting
Professional
Modifier
None (both parts)
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,412.54
BCBS Rhode Island
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$87.10
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$3,311.31
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$831.76
Median
$912.01
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$2,344.23

Where Rhode Island sits

The same service costs 4.4 times more in Nebraska than in Washington. 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.

Rhode Island· 26th of 51

$1,413

NE $2,512WA $575

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.