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Nuclear Scan for Active Bowel Bleeding

North Dakota rates for HCPCS 78278

A nuclear scan used to find where bleeding is coming from in the digestive tract. The patient's own red blood cells are labeled with a tracer and returned to the bloodstream, and the camera then watches for tracer collecting and moving inside the bowel, which marks the point where blood is escaping. It can catch bleeding that is too slow or too intermittent to find another way.

Rates data updated October 2026.

How much does Nuclear Scan for Active Bowel Bleeding cost?

$617

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $437 to $724.

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.

How much rates vary

Facilitymedian $355 · 10th to 90th $355 to $457Professionalmedian $631 · 10th to 90th $355 to $813
$200$500$1K$2Kfacility $355professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$288.40
Median
$354.81
Typical High
$776.25
BCBS North Dakota
Setting
Professional
Modifier
None (both parts)
Typical Low
$537.03
Median
$676.08
Typical High
$812.83
BCBS North Dakota
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$97.72
Typical High
$117.49
BCBS North Dakota
Setting
Professional
Modifier
TC · Technical part
Typical Low
$457.09
Median
$575.44
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$281.84
Median
$501.19
Typical High
$851.14
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$85.11
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$239.88
Median
$426.58
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$363.08
Median
$691.83
Typical High
$2,137.96
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$93.33
Typical High
$295.12
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$588.84
Typical High
$1,819.70
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$323.59
Median
$660.69
Typical High
$812.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$89.13
Typical High
$117.49
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$269.15
Median
$562.34
Typical High
$707.95
2 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
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$645.65
Median
$812.83
Typical High
$977.24
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$107.15
Median
$134.90
Typical High
$162.18

Where North Dakota sits

The same service costs 3.8 times more in Alaska 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.

North Dakota· 8th of 51

$617

AK $1,047FL $275

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.