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Nuclear Scan For Damaged Heart Muscle

Washington, DC 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?

$200

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $200 to $282.

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

Professionalmedian $200 · 10th to 90th $200 to $871
$50.0$100.0$200.0$500.0$1.0Kprofessional $200

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
$38.02
Median
$186.21
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$933.25
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$346.74
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$208.93
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$758.58
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$269.15
Typical High
$616.60

Where Washington, DC 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.

Washington, DC $200 · 44th 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.