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Nuclear Scan For Stomach-Type Lining In The Bowel

Illinois rates for HCPCS 78261

An imaging test in which a small amount of radioactive tracer is injected into a vein and taken up by stomach-type lining tissue. A camera then shows whether such tissue is sitting somewhere outside the stomach, a well-known cause of unexplained bleeding from the bowel in children and young adults.

Rates data updated July 2026.

How much does Nuclear Scan For Stomach-Type Lining In The Bowel cost?

$234

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $457 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 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$214$158 to $288
FacilityA hospital or hospital-owned outpatient department$457$331 to $692

How much rates vary

Facilitymedian $457 · 10th to 90th $178 to $1,514Professionalmedian $214 · 10th to 90th $40 to $407
$20.0$100.0$500.0$2.0Kfacility $457professional $214

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
$177.83
Median
$331.13
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$107.15
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$398.11

Where Illinois sits

The same service costs 4.5 times more in Wyoming than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $234 · 27th of 51
WY $724FL $162

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.