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Nuclear Scan For Stomach-Type Lining In The Bowel

New York 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?

$214

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $288 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 9 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$209$178 to $316
FacilityA hospital or hospital-owned outpatient department$288$195 to $513

How much rates vary

Facilitymedian $288 · 10th to 90th $138 to $661Professionalmedian $209 · 10th to 90th $170 to $525
$100.0$1.0K$10.0Kfacility $288professional $209

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
$169.82
Median
$239.88
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$549.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$251.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$251.19
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$346.74
Typical High
$891.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$407.38
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$229.09
Typical High
$338.84
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$562.34
Univera
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$147.91
Typical High
$501.19
Univera
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$467.74

Where New York 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.

New York $214 · 32nd 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.