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Nuclear Scan For Damaged Heart Muscle

New York 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 New York, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $195 to $347.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $234 · 10th to 90th $162 to $589
$50.0$100.0$200.0$500.0$1.0K$2.0Kprofessional $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
$38.90
Median
$54.95
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$588.84
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$169.82
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$194.98
Typical High
$457.09
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$245.47
Typical High
$309.03
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.72
Median
$50.12
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$338.84
Typical High
$776.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$234.42
Typical High
$363.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$380.19
Excellus BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$177.83
Typical High
$295.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$691.83
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$245.47
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$575.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$223.87
Typical High
$562.34
Univera
Setting
Facility
Modifier
26 · Professional part
Typical Low
$34.67
Median
$45.71
Typical High
$147.91
Univera
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$588.84
Univera
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$199.53
Typical High
$467.74

Where New York 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.

New York $234 · 32nd 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.