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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 July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$234

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $155 to $309.

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.

How much rates vary

Professionalmedian $234 · 10th to 90th $65 to $457
$50.0$100.0$200.0$500.0$1.0K$2.0Kprofessional $234

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
$40.74
Median
$75.86
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$380.19
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$158.49
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$194.98
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$457.09
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$223.87
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$1,258.93
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$69.18
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$251.19
Typical High
$912.01
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$263.03
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$194.98
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$436.52
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$245.47
Typical High
$346.74

Where Illinois 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.

Illinois $234 · 31st 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.