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Other Nuclear Scan Of Blood And Lymph System

Ohio rates for HCPCS 78199

Covers a nuclear medicine study of the blood-forming and lymphatic system — organs such as the spleen, the bone marrow, and the lymph channels and nodes — that has no standard named study of its own. A small amount of radioactive tracer is given and a special camera follows where it travels in the body.

Rates data updated July 2026.

How much does Other Nuclear Scan Of Blood And Lymph System cost?

$302

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $0.02 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.02$0.02 to $0.07
FacilityA hospital or hospital-owned outpatient department$398$302 to $1,349

How much rates vary

Facilitymedian $398 · 10th to 90th $50 to $2,188Professionalmedian $0 · 10th to 90th $0 to $32
$0.1$1$10$100$1Kfacility $398professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$3,090.30
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$954.99

Where Ohio sits

The same service costs 1778.3 times more in Kentucky than in Nevada. 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.

Ohio· 43rd of 46

$302

KY $75,858NV $42.66

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.