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Nuclear Scan For Stomach-Type Lining In The Bowel

New Jersey 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?

$209

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $794 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 5 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$204$182 to $257
FacilityA hospital or hospital-owned outpatient department$794$389 to $1,202

How much rates vary

Facilitymedian $794 · 10th to 90th $204 to $1,622Professionalmedian $204 · 10th to 90th $170 to $372
$200$500$1K$2Kfacility $794professional $204

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
$204.17
Median
$1,096.48
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,513.56
Typical High
$3,548.13
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$436.52

Where New Jersey 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.

New Jersey· 39th of 51

$209

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.