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Nuclear Scan For Damaged Heart Muscle

Illinois 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 Illinois, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $741 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$263$100 to $309
FacilityA hospital or hospital-owned outpatient department$741$525 to $1,175

How much rates vary

Facilitymedian $741 · 10th to 90th $324 to $1,820Professionalmedian $263 · 10th to 90th $65 to $457
$50$100$200$500$1K$2Kfacility $741professional $263

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
$173.78
Median
$199.53
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$199.53
Typical High
$204.17
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$40.74
Typical High
$41.69
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$158.49
Typical High
$165.96
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$812.83
Typical High
$2,398.83
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$54.95
Median
$199.53
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$489.78
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$288.40
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$52.48
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$229.09
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$64.57
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$239.88
Typical High
$776.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$245.47
Typical High
$263.03
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$302.00
Typical High
$426.58
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$58.88
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$245.47
Typical High
$338.84
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
$87.10
Median
$100.00
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$39.81
Typical High
$41.69
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$141.25
Median
$158.49
Typical High
$158.49

Where Illinois 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.

Illinois· 27th 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.