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Utah rates for HCPCS 78814

Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)

Facilitymedian $200 · 10th–90th $200–$2000%50%$200Professionalmedian $200 · 10th–90th $102–$3720%20%10th90th$200$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $199.53 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $218.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $234.42 / $245.47
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $158.49 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $120.23 / $177.83