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Nuclear Scan For Damaged Heart Muscle

Michigan 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?

$234

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $195 to $302.

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 $234 · 10th to 90th $151 to $316
$50.0$100.0$200.0$500.0$1.0Kprofessional $234

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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$234.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$181.97
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$251.19
Typical High
$416.87
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.02
Median
$93.33
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$302.00
Health Alliance Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$181.97
Typical High
$245.47
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$416.87
Priority Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$186.21
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$346.74
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$204.17
Typical High
$288.40

Where Michigan 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.

Michigan $234 · 33rd 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.