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Nuclear Scan For Damaged Heart Muscle

Maine 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?

$263

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $257 to $316.

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 $263 · 10th to 90th $251 to $417
$200.0$500.0$1.0K$2.0K$5.0Kprofessional $263

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
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$263.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$204.17
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$234.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$467.74
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$288.40
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$575.44
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$234.42
Typical High
$457.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$346.74
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$204.17
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$575.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$251.19
Typical High
$363.08

Where Maine 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.

Maine $263 · 19th 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.