A nuclear medicine study in which a sample of the patient's own red blood cells is tagged with a small amount of radioactive marker, returned to the bloodstream, and then followed to see where in the body those cells are being trapped and destroyed. Readings taken over the following days show whether the spleen, the liver, or both are responsible.
Rates data updated October 2026.
How much does Nuclear Study of Where Red Cells Are Broken Down cost?
$182
Typical negotiated rate. In West Virginia, October 2026.
Insurers have agreed to pay about $182 for this service. Most negotiated rates run $120 to $355.
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 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $437 · 10th to 90th $174 to $1,122Professionalmedian $174 · 10th to 90th $93 to $380
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Professional
None (both parts)
$100.00
$100.00
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$436.52
Typical High
$575.44
Facility
None
$173.78
$436.52
$575.44
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$316.23
Typical High
$794.33
Professional
None (both parts)
$131.83
$316.23
$794.33
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$75.86
Typical High
$144.54
Professional
26 · Professional part
$29.51
$75.86
$144.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$245.47
Typical High
$416.87
Professional
TC · Technical part
$100.00
$245.47
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Facility
None
$1,122.02
$1,122.02
$1,122.02
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$181.97
Typical High
$354.81
Professional
None (both parts)
$89.13
$181.97
$354.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$35.48
Typical High
$83.18
Professional
26 · Professional part
$20.42
$35.48
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$144.54
Typical High
$275.42
Professional
TC · Technical part
$66.07
$144.54
$275.42
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$60.26
Median
$120.23
Typical High
$151.36
Facility
FX · Film X-ray
$60.26
$120.23
$151.36
Where West Virginia sits
The same service costs 4.6 times more in Alabama than in Texas. 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.