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Nuclear Scan For Damaged Heart Muscle

Ohio 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?

$229

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $1,096 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$195 to $288
FacilityA hospital or hospital-owned outpatient department$1,096$562 to $1,349

How much rates vary

Facilitymedian $1,096 · 10th to 90th $513 to $1,698Professionalmedian $229 · 10th to 90th $162 to $398
$50$100$200$500$1K$2Kfacility $1,096professional $229

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
$190.55
Median
$1,096.48
Typical High
$1,479.11
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$147.91
Median
$407.38
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$190.55
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$218.78
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$147.91
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$234.42
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$186.21
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$812.83
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$263.03
Typical High
$588.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$208.93
Typical High
$467.74
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$812.83
Typical High
$1,862.09
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$269.15
Typical High
$549.54
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$114.82
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$208.93
Typical High
$436.52
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$204.17
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$257.04
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,862.09
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$257.04
Typical High
$549.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$51.29
Typical High
$117.49
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$204.17
Typical High
$426.58
6 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
Facility
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$302.00
Typical High
$741.31
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$120.23
Typical High
$295.12
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$151.36
Median
$478.63
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$38.02
Typical High
$218.78
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$151.36
Median
$151.36
Typical High
$575.44

Where Ohio 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.

Ohio· 44th of 51

$229

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.