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Nuclear Scan For Stomach-Type Lining In The Bowel

Kentucky 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?

$186

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $170 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$195$170 to $251
FacilityA hospital or hospital-owned outpatient department$170$162 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $42 to $288Professionalmedian $195 · 10th to 90th $151 to $380
$50$100$200$500$1Kfacility $170professional $195

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
$151.36
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$158.49
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$169.82
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$331.13

Where Kentucky sits

The same service costs 4.5 times more in Wyoming than in Florida. 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.

Kentucky· 44th of 51

$186

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.