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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 July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$200

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $191 to $251.

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 $200 · 10th to 90th $186 to $407
$50.0$100.0$200.0$500.0$1.0Kprofessional $200

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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$371.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$162.18
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$208.93
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$169.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$446.68
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$208.93
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$50.12
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$537.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$204.17
Typical High
$426.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$199.53
Typical High
$275.42

Where Maryland 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.

Maryland $200 · 43rd 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.