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Nuclear Scan For Stomach-Type Lining In The Bowel

Massachusetts 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 Massachusetts, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $251 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$209 to $490
FacilityA hospital or hospital-owned outpatient department$251$186 to $501

How much rates vary

Facilitymedian $251 · 10th to 90th $37 to $776Professionalmedian $263 · 10th to 90th $52 to $1,259
$50$100$200$500$1K$2K$5Kfacility $251professional $263

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
$208.93
Median
$208.93
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$208.93
Typical High
$257.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$25.70
Typical High
$33.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$186.21
Typical High
$218.78
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$676.08
Typical High
$851.14
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$436.52
Typical High
$1,258.93
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$58.88
Typical High
$239.88
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$389.05
Typical High
$1,071.52
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$812.83
BCBS Massachusetts
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$870.96
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$309.03
Typical High
$831.76
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$40.74
Typical High
$109.65
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$269.15
Typical High
$724.44
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$223.87
Typical High
$309.03
Fallon Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$35.48
Median
$223.87
Typical High
$309.03
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$389.05
Typical High
$758.58
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$52.48
Typical High
$87.10
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$316.23
Typical High
$524.81
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$676.08
Typical High
$851.14
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$436.52
Typical High
$1,258.93
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$58.88
Typical High
$239.88
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$389.05
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,047.13
Typical High
$1,584.89
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$295.12
Typical High
$794.33
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$38.90
Typical High
$104.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$257.04
Typical High
$691.83
Well Sense
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$204.17
Typical High
$309.03
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$26.30
Typical High
$46.77
Well Sense
Setting
Facility
Modifier
TC · Technical part
Typical Low
$128.82
Median
$169.82
Typical High
$302.00
Well Sense
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$229.09
Typical High
$229.09
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
$104.71
Median
$104.71
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$41.69
Typical High
$51.29
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$169.82
Median
$169.82
Typical High
$229.09

Where Massachusetts 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.

Massachusetts· 31st 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.