Combien Coûte TEP-scan ?
A PET scan (Positron Emission Tomography) uses a radioactive tracer to detect metabolic activity in organs and tissues. It is commonly used in cancer diagnosis, heart disease evaluation, and brain disorder assessment.
Sans Assurance
$5,750
Avec Assurance
$1,500
Medicare
$1,200
Moyenne Nationale
$4,200
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Aperçu
A PET (positron emission tomography) scan is a nuclear-medicine study that uses a short-lived radioactive tracer — most commonly FDG (fluorodeoxyglucose), a glucose analog — to map metabolic activity in tissues. Areas with high metabolism (many cancers, active inflammation) light up against background tissue. Modern scanners combine PET with CT or MRI (PET/CT, PET/MRI) to overlay metabolic and anatomical information. A scan requires the patient to fast before tracer injection, wait roughly 60 minutes for the tracer to distribute, then spend 20 to 40 minutes in the scanner. PET is the most expensive routine imaging modality because of the tracer cost (which has a short half-life and must be freshly produced) and the scanner itself. Indications include cancer staging, treatment response assessment, restaging after recurrence, and select cardiac and neurologic evaluations. Prior authorization is essentially universal for commercial insurers and strongly enforced by Medicare Advantage plans.
Ce qui influence le coût
- Scan modality: PET/CT is standard; PET/MRI adds an MRI-technology fee where available; dedicated brain or cardiac PET protocols price differently.
- Tracer used: FDG is the workhorse; prostate-specific (PSMA), DOTATATE for neuroendocrine, and amyloid PET tracers have distinct and often higher prices.
- Site of service: hospital outpatient PET imaging typically costs substantially more than freestanding PET centers for identical studies.
- Prior authorization: unauthorized PET scans are routinely denied, leaving patients exposed to chargemaster rates far above negotiated prices.
- Technical vs professional fee split: the scanning technical fee and the nuclear-medicine physician's interpretation are billed separately.
- Scope: whole-body vs limited-region studies differ in scan time, tracer dose, and billed amount.
Comment Économiser
- Ask your oncologist or ordering physician whether a freestanding PET center is available instead of a hospital outpatient imaging department.
- Verify prior authorization is on file before the scan; unauthorized studies are denied and billed at chargemaster rates.
- Confirm the facility and the interpreting physician are both in-network.
- Ask whether a non-contrast CT or MRI could answer the clinical question first, deferring PET to cases where it adds unique value.
- Request a Good Faith Estimate if self-pay; PET pricing varies widely and cash quotes are sometimes lower than insured negotiated rates for high-deductible patients.
- Use your HSA or FSA to pay the patient portion with pre-tax dollars.
Remarques sur l'assurance et la couverture
Medicare Part B and commercial plans cover PET scans for approved oncologic, cardiac, and neurologic indications per established medical-policy lists. Prior authorization is essentially universal for commercial insurers and Medicare Advantage; traditional Medicare uses a national coverage determination that limits covered indications per tracer. Under Medicare, patients owe 20% coinsurance after the Part B deductible; commercial cost-sharing varies. Outside approved indications, PET may be denied entirely. Technical and professional components are usually billed as separate line items. PET tracer drug charges are sometimes passed through as a separate line item under Medicare.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $4,140 to $7,935 · 50 states shown
Coût par État
| État | Sans Assurance | Avec Assurance | Medicare |
|---|---|---|---|
| Mississippi | $4,140 | $1,080 | $864 |
| Arkansas | $4,313 | $1,125 | $900 |
| West Virginia | $4,313 | $1,125 | $900 |
| Alabama | $4,485 | $1,170 | $936 |
| Oklahoma | $4,485 | $1,170 | $936 |
| Kentucky | $4,888 | $1,275 | $1,020 |
| Louisiana | $4,945 | $1,290 | $1,032 |
| Iowa | $5,060 | $1,320 | $1,056 |
| New Mexico | $5,060 | $1,320 | $1,056 |
| South Carolina | $5,060 | $1,320 | $1,056 |
| South Dakota | $5,060 | $1,320 | $1,056 |
| Kansas | $5,118 | $1,335 | $1,068 |
| North Dakota | $5,118 | $1,335 | $1,068 |
| Idaho | $5,175 | $1,350 | $1,080 |
| Nebraska | $5,175 | $1,350 | $1,080 |
| Tennessee | $5,175 | $1,350 | $1,080 |
| Indiana | $5,348 | $1,395 | $1,116 |
| Missouri | $5,348 | $1,395 | $1,116 |
| Utah | $5,348 | $1,395 | $1,116 |
| Wyoming | $5,348 | $1,395 | $1,116 |
| Georgia | $5,405 | $1,410 | $1,128 |
| North Carolina | $5,405 | $1,410 | $1,128 |
| Michigan | $5,463 | $1,425 | $1,140 |
| Montana | $5,463 | $1,425 | $1,140 |
| Arizona | $5,635 | $1,470 | $1,176 |
| Ohio | $5,635 | $1,470 | $1,176 |
| Wisconsin | $5,635 | $1,470 | $1,176 |
| Maine | $5,693 | $1,485 | $1,188 |
| Texas | $5,693 | $1,485 | $1,188 |
| Florida | $5,808 | $1,515 | $1,212 |
| Minnesota | $5,808 | $1,515 | $1,212 |
| Illinois | $5,923 | $1,545 | $1,236 |
| Pennsylvania | $5,923 | $1,545 | $1,236 |
| Delaware | $5,980 | $1,560 | $1,248 |
| Nevada | $5,980 | $1,560 | $1,248 |
| Vermont | $5,980 | $1,560 | $1,248 |
| Virginia | $5,980 | $1,560 | $1,248 |
| Colorado | $6,095 | $1,590 | $1,272 |
| New Hampshire | $6,095 | $1,590 | $1,272 |
| Oregon | $6,095 | $1,590 | $1,272 |
| Maryland | $6,325 | $1,650 | $1,320 |
| Rhode Island | $6,383 | $1,665 | $1,332 |
| Washington | $6,383 | $1,665 | $1,332 |
| Connecticut | $6,900 | $1,800 | $1,440 |
| New Jersey | $6,900 | $1,800 | $1,440 |
| California | $7,590 | $1,980 | $1,584 |
| Massachusetts | $7,648 | $1,995 | $1,596 |
| Alaska | $7,763 | $2,025 | $1,620 |
| New York | $7,763 | $2,025 | $1,620 |
| Hawaii | $7,935 | $2,070 | $1,656 |
Questions Fréquentes
Combien coûte tep-scan sans assurance ?
Le coût moyen de tep-scan sans assurance aux États-Unis est de $5,750. Les coûts varient considérablement selon l'état.
L'assurance couvre-t-elle tep-scan ?
La plupart des régimes d'assurance maladie couvrent tep-scan lorsque médicalement nécessaire. Avec assurance, le coût moyen à votre charge est de $1,500.
Medicare couvre-t-il tep-scan ?
Medicare Partie B couvre généralement tep-scan sur prescription médicale. Le montant moyen approuvé par Medicare est de $1,200.
Révisé par Elena Bellini · Dernière révision : 2026-04-21
Données provenant de CMS Medicare Provider Utilization and Payment Data 2025. Dernière mise à jour : 2026-03-01. Ces informations sont à titre éducatif uniquement et ne constituent pas un avis médical. Ce site web est à titre informatif uniquement et ne constitue pas un avis médical. Consultez toujours un professionnel de santé qualifié.