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Nuclear Scan For Stomach-Type Lining In The Bowel

Virginia 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?

$219

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $257 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$178 to $269
FacilityA hospital or hospital-owned outpatient department$257$138 to $589

How much rates vary

Facilitymedian $257 · 10th to 90th $35 to $891Professionalmedian $214 · 10th to 90th $151 to $363
$20$100$500$2K$10Kfacility $257professional $214

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
$181.97
Median
$181.97
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$181.97
Typical High
$199.53
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$26.30
Typical High
$27.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$158.49
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$741.31
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$208.93
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$30.20
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$177.83
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$25.12
Median
$177.83
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$28.18
Typical High
$36.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$616.60
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$269.15
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$40.74
Typical High
$66.07
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$234.42
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$234.42
Typical High
$269.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$302.00
Medcost
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$371.54
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Sentara
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$186.21
Typical High
$758.58
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$40.74
Median
$245.47
Typical High
$489.78
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$41.69
Typical High
$70.79
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$257.04
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$1,862.09
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$302.00
Typical High
$426.58
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$44.67
Typical High
$60.26
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$263.03
Typical High
$371.54
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
$87.10
Median
$91.20
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$36.31
Typical High
$39.81
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$144.54
Median
$144.54
Typical High
$147.91

Where Virginia 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.

Virginia· 41st of 51

$219

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.