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Nuclear Scan For Damaged Heart Muscle

North Carolina 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?

$182

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $182 to $324.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $182 · 10th to 90th $174 to $525
$200.0$500.0$1.0Kprofessional $182

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
$38.90
Median
$61.66
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$512.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$144.54
Typical High
$426.58
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$269.15
Median
$331.13
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$630.96
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$316.23
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$588.84
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$251.19
Typical High
$457.09
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,737.80
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,380.38

Where North Carolina 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.

North Carolina $182 · 49th 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.