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Nuclear Heart Blood-Flow Scan, One Study

Missouri rates for HCPCS 78451

A small amount of radioactive tracer is injected and a rotating camera builds cross-sectional pictures showing how well blood reaches the heart muscle. Areas receiving less blood show up faintly, pointing to narrowed heart arteries or earlier damage. This covers a single set of images, taken either at rest or with the heart stressed, rather than both.

Rates data updated October 2026.

How much does Nuclear Heart Blood-Flow Scan, One Study cost?

$398

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $871 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$288 to $525
FacilityA hospital or hospital-owned outpatient department$871$427 to $2,630

How much rates vary

Facilitymedian $871 · 10th to 90th $282 to $4,074Professionalmedian $389 · 10th to 90th $251 to $851
$200$500$1K$2K$5Kfacility $871professional $389

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
$275.42
Median
$281.84
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$275.42
Median
$309.03
Typical High
$707.95
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$63.10
Typical High
$151.36
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$245.47
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$331.13
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$77.62
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$263.03
Typical High
$446.68
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$229.09
Typical High
$467.74
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$323.59
Median
$338.84
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$933.25
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$398.11
Typical High
$645.65
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$81.28
Typical High
$144.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$323.59
Typical High
$524.81
Medica
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$660.69
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$346.74
Median
$602.56
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$128.82
Typical High
$407.38
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$281.84
Median
$478.63
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$331.13
Median
$457.09
Typical High
$1,047.13
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$91.20
Typical High
$213.80
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$263.03
Median
$363.08
Typical High
$831.76
1 more rate 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
FX · Film X-ray
Typical Low
$218.78
Median
$229.09
Typical High
$263.03

Where Missouri sits

The same service costs 3.6 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.

Missouri· 33rd of 51

$398

AK $1,023FL $282

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.