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Nuclear Scan For Damaged Heart Muscle

Kentucky 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?

$224

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $186 to $269.

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 $224 · 10th to 90th $170 to $447
$50.0$100.0$200.0$500.0$1.0Kprofessional $224

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
$37.15
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$269.15
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$147.91
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$186.21
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$66.07
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.72
Median
$50.12
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$363.08
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$346.74
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$213.80
Typical High
$281.84

Where Kentucky 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.

Kentucky $224 · 38th 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.