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Nuclear Scan For Damaged Heart Muscle

Georgia 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 October 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$288

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $355 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$219 to $363
FacilityA hospital or hospital-owned outpatient department$355$275 to $479

How much rates vary

Facilitymedian $355 · 10th to 90th $204 to $562Professionalmedian $282 · 10th to 90th $191 to $490
$200$500facility $355professional $282

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
$162.18
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$190.55
Typical High
$204.17
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$37.15
Typical High
$42.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$151.36
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$354.81
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$281.84
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$54.95
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$218.78
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$354.81
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$389.05
Typical High
$575.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$81.28
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$316.23
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$363.08
Typical High
$676.08
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$234.42
Typical High
$302.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$309.03
Typical High
$575.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$61.66
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$251.19
Typical High
$467.74
3 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
52 · Reduced service
Typical Low
$85.11
Median
$95.50
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$38.02
Typical High
$39.81
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$131.83
Median
$151.36
Typical High
$162.18

Where Georgia sits

The same service costs 4.6 times more in Alaska than in Texas. 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.

Georgia· 30th of 51

$288

AK $832TX $182

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.