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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 July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$245

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $204 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $245 · 10th to 90th $191 to $479
$2.0$10.0$50.0$200.0$1.0Kprofessional $245

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
$40.74
Median
$60.26
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$158.49
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$218.78
Typical High
$346.74
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
$194.98
Median
$288.40
Typical High
$537.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$229.09
Typical High
$426.58
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$537.03
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$229.09
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$436.52
SummaCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$204.17
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$436.52
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$199.53
Typical High
$331.13

Where Ohio 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.

Ohio $245 · 28th 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.