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Other Nuclear Scan Of Blood And Lymph System

Wisconsin 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?

$1,445

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $1,479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 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$70.79$50.12 to $2,692
FacilityA hospital or hospital-owned outpatient department$1,479$1,023 to $1,698

How much rates vary

Facilitymedian $1,479 · 10th to 90th $200 to $2,042Professionalmedian $71 · 10th to 90th $32 to $2,692
$50$100$200$500$1K$2Kfacility $1,479professional $71

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,071.52

Where Wisconsin 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.

Wisconsin· 6th of 46

$1,445

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.