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Nuclear Scan For Damaged Heart Muscle

California rates for HCPCS 78469

A nuclear medicine scan that uses a small dose of radioactive tracer which gathers in areas of heart muscle that are damaged or hold abnormal deposits. A camera rotates around the chest to build cross-sectional images, so the affected areas can be located and their extent judged. It differs from a stress test, which looks at blood flow to the muscle rather than the muscle itself.

Rates data updated July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$295

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $224 to $537.

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 11 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $295 · 10th to 90th $182 to $1,230
$50.0$100.0$200.0$500.0$1.0K$2.0Kprofessional $295

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
26 · Professional part
Typical Low
$43.65
Median
$46.77
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$218.78
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$295.12
Typical High
$616.60
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$676.08
Blue Shield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$100.00
Typical High
$549.54
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$660.69
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$257.04
Typical High
$537.03
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Contra Costa Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Contra Costa Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$223.87
Median
$223.87
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$56.23
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$239.88
Typical High
$426.58
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$165.96
Typical High
$208.93
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$645.65
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$257.04
Typical High
$537.03
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Sutter Health Plus
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$630.96
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$213.80
Typical High
$512.86

Where California sits

The same service costs 4.9 times more in Wyoming than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $295 · 14th of 51
WY $813FL $166

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.