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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 October 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$295

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $257 to $380.

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

Facilitymedian $1,122 · 10th to 90th $813 to $1,905Professionalmedian $288 · 10th to 90th $224 to $398
$200$500$1Kfacility $1,122professional $288

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
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,905.46
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$295.12
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$60.26
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$234.42
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$263.03
Median
$275.42
Typical High
$467.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$56.23
Typical High
$95.50
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$218.78
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$309.03
Typical High
$416.87
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$63.10
Typical High
$85.11
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$245.47
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$316.23
Typical High
$416.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$64.57
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$251.19
Typical High
$338.84

Where Maine 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.

Maine· 26th of 51

$295

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.