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Nuclear Heart Blood-Flow Scan, One Study

Washington 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?

$427

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $3,981 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$102 to $589
FacilityA hospital or hospital-owned outpatient department$3,981$1,585 to $5,129

How much rates vary

Facilitymedian $3,981 · 10th to 90th $417 to $6,457Professionalmedian $427 · 10th to 90th $58 to $741
$50$200$1K$5Kfacility $3,981professional $427

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
$416.87
Median
$1,445.44
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$309.03
Median
$416.87
Typical High
$588.84
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$3,981.07
Typical High
$8,128.31
Asuris Northwest Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$954.99
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$416.87
Median
$602.56
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$562.34
Typical High
$891.25
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$57.54
Median
$426.58
Typical High
$707.95
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$478.63
Typical High
$602.56
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$436.52
Typical High
$436.52
Premera BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$8,128.31
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$691.83
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$7,762.47
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$295.12
Median
$346.74
Typical High
$912.01
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$436.52
Median
$457.09
Typical High
$707.95
12 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
26 · Professional part
Typical Low
$57.54
Median
$72.44
Typical High
$138.04
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$251.19
Median
$346.74
Typical High
$389.05
Asuris Northwest Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$204.17
Typical High
$524.81
Asuris Northwest Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$794.33
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$489.78
Typical High
$776.25
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$134.90
Typical High
$181.97
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$549.54
Typical High
$691.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$72.44
Typical High
$186.21
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$234.42
Median
$281.84
Typical High
$724.44

Where Washington 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.

Washington· 27th of 51

$427

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.