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Nuclear Scan For Damaged Heart Muscle

Idaho 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?

$427

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $1,122 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$257 to $427
FacilityA hospital or hospital-owned outpatient department$1,122$661 to $1,413

How much rates vary

Facilitymedian $1,122 · 10th to 90th $316 to $1,862Professionalmedian $363 · 10th to 90th $74 to $501
$50$100$200$500$1Kfacility $1,122professional $363

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
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$426.58
Typical High
$426.58
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,122.02
Typical High
$1,862.09
BCBS Idaho
Setting
Professional
Modifier
None (both parts)
Typical Low
$331.13
Median
$416.87
Typical High
$549.54
BCBS Idaho
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$85.11
Typical High
$112.20
BCBS Idaho
Setting
Professional
Modifier
TC · Technical part
Typical Low
$257.04
Median
$331.13
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$338.84
Typical High
$371.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$72.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$269.15
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$426.58
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$426.58
Typical High
$501.19
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$426.58
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$234.42
Typical High
$501.19
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,905.46
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$380.19
Median
$426.58
Typical High
$501.19
Select Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$1,380.38
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$190.55
Typical High
$257.04
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$269.15
Typical High
$446.68
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$50.12
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$218.78
Typical High
$354.81
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
Facility
Modifier
FX · Film X-ray
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where Idaho 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.

Idaho· 6th of 51

$427

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.