go back

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 October 2026.

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

$263

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $589 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$158 to $309
FacilityA hospital or hospital-owned outpatient department$589$468 to $955

How much rates vary

Facilitymedian $589 · 10th to 90th $347 to $1,738Professionalmedian $234 · 10th to 90th $40 to $407
$50$100$200$500$1K$2Kfacility $589professional $234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$177.83
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$177.83
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$25.12
Typical High
$26.92
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$151.36
Typical High
$158.49
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$691.83
Typical High
$2,290.87
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.88
Median
$107.15
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$426.58
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$239.88
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.02
Typical High
$61.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$208.93
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$263.03
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$41.69
Typical High
$158.49
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$218.78
Typical High
$794.33
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$218.78
Typical High
$234.42
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,071.52
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$288.40
Typical High
$389.05
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$40.74
Typical High
$53.70
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$251.19
Typical High
$331.13
3 more rates 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
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$89.13
Typical High
$93.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$35.48
Typical High
$37.15
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$125.89
Median
$141.25
Typical High
$141.25

Where Illinois sits

The same service costs 4.4 times more in Alaska 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.

Illinois· 30th of 51

$263

AK $741TX $170

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.