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Nuclear Scan For Damaged Heart Muscle

Kansas 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?

$324

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $603 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$240 to $347
FacilityA hospital or hospital-owned outpatient department$603$324 to $724

How much rates vary

Facilitymedian $603 · 10th to 90th $229 to $1,349Professionalmedian $309 · 10th to 90th $219 to $631
$200$500$1K$2K$5Kfacility $603professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$181.97
Typical High
$181.97
BCBS Kansas
Setting
Professional
Modifier
None (both parts)
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$724.44
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$316.23
Typical High
$316.23
Medica
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$323.59
Typical High
$436.52
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$302.00
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$61.66
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$239.88
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$1,000.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$245.47
Typical High
$426.58
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$48.98
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$204.17
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
$95.50
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$151.36
Median
$177.83
Typical High
$186.21

Where Kansas 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.

Kansas· 20th of 51

$324

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.