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Nuclear Scan For Damaged Heart Muscle

Pennsylvania 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?

$214

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $186 to $269.

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 $214 · 10th to 90th $182 to $372
$200$500$1Kprofessional $214

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
$41.69
Median
$112.20
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$316.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$165.96
Typical High
$295.12
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$416.87
Capital Blue Cross
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$158.49
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$426.58
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$223.87
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$416.87
Geisinger
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$208.93
Typical High
$331.13
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$112.20
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$169.82
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$331.13
UPMC Health Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$50.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$251.19
UPMC Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$158.49
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$407.38
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$204.17
Typical High
$331.13

Where Pennsylvania sits

The same service costs 4.9 times more in Wyoming than in Florida. 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.

Pennsylvania· 41st of 51

$214

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.