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Nuclear Scan For Damaged Heart Muscle

North Dakota 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?

$417

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $309 to $479.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $229 to $295Professionalmedian $427 · 10th to 90th $229 to $550
$200$500$1Kfacility $229professional $427

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
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$208.93
Typical High
$229.09
BCBS North Dakota
Setting
Professional
Modifier
None (both parts)
Typical Low
$354.81
Median
$436.52
Typical High
$524.81
BCBS North Dakota
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$91.20
Typical High
$109.65
BCBS North Dakota
Setting
Professional
Modifier
TC · Technical part
Typical Low
$281.84
Median
$346.74
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$389.05
Typical High
$549.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$79.43
Typical High
$107.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$316.23
Typical High
$436.52
Medica
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$691.83
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$457.09
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$87.10
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$363.08
Typical High
$1,174.90
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$426.58
Typical High
$537.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$81.28
Typical High
$112.20
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$346.74
Typical High
$426.58
2 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
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$426.58
Median
$524.81
Typical High
$630.96
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$87.10
Typical High
$104.71

Where North Dakota 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.

North Dakota· 8th of 51

$417

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.