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Nuclear Scan For Damaged Heart Muscle

Maryland 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?

$209

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $186 to $240.

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 $209 · 10th to 90th $170 to $339
$50$100$200$500professional $209

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
$186.21
Median
$190.55
Typical High
$199.53
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$147.91
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$208.93
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$45.71
Typical High
$45.71
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$223.87
Typical High
$467.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$36.31
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$151.36
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$269.15
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$51.29
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$218.78
Typical High
$338.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$251.19
Typical High
$676.08
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$45.71
Typical High
$128.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$204.17
Typical High
$549.54
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$208.93
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$67.61
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$275.42
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
$93.33
Median
$93.33
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$38.02
Typical High
$39.81
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$147.91
Median
$147.91
Typical High
$162.18

Where Maryland 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.

Maryland· 49th of 51

$209

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.