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Nuclear Scan For Damaged Heart Muscle

New Jersey 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?

$263

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $832 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$219 to $347
FacilityA hospital or hospital-owned outpatient department$832$407 to $1,995

How much rates vary

Facilitymedian $832 · 10th to 90th $347 to $3,090Professionalmedian $245 · 10th to 90th $186 to $490
$200$500$1K$2K$5K$10Kfacility $832professional $245

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
$218.78
Median
$218.78
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$218.78
Typical High
$251.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$44.67
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$181.97
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$323.59
Typical High
$512.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$52.48
Typical High
$87.10
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$263.03
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,819.70
Typical High
$12,882.50
Horizon BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$478.63
Median
$17,378.01
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$269.15
Typical High
$457.09
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$50.12
Typical High
$85.11
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$218.78
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,290.87
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$257.04
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$51.29
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$218.78
Typical High
$398.11
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
$104.71
Median
$109.65
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$43.65
Typical High
$50.12
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$169.82
Median
$177.83
Typical High
$190.55

Where New Jersey 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.

New Jersey· 35th of 51

$263

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.