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Nuclear Scan For Damaged Heart Muscle

Missouri 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?

$316

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $575 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$224 to $372
FacilityA hospital or hospital-owned outpatient department$575$372 to $1,230

How much rates vary

Facilitymedian $575 · 10th to 90th $282 to $3,467Professionalmedian $309 · 10th to 90th $195 to $692
$200$500$1K$2K$5Kfacility $575professional $309

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
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$190.55
Typical High
$288.40
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$40.74
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$158.49
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$316.23
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$64.57
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$245.47
Typical High
$323.59
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$562.34
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$223.87
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$630.96
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$275.42
Typical High
$446.68
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$54.95
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$213.80
Typical High
$354.81
Medica
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$436.52
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$426.58
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$89.13
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$346.74
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,819.70
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$302.00
Typical High
$691.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$57.54
Typical High
$144.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$245.47
Typical High
$549.54
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
$89.13
Median
$95.50
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$38.02
Typical High
$43.65
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$144.54
Median
$151.36
Typical High
$173.78

Where Missouri 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.

Missouri· 22nd of 51

$316

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.