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Nuclear Scan For Damaged Heart Muscle

Rhode Island 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?

$316

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $1,122 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$245 to $339
FacilityA hospital or hospital-owned outpatient department$1,122$813 to $2,570

How much rates vary

Facilitymedian $1,122 · 10th to 90th $692 to $2,818Professionalmedian $257 · 10th to 90th $209 to $447
$200$500$1K$2K$5Kfacility $1,122professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$1,122.02
Typical High
$2,691.53
BCBS Rhode Island
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$245.47
Typical High
$446.68
BCBS Rhode Island
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$51.29
Typical High
$87.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$3,311.31
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$316.23
Median
$316.23
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$269.15
Typical High
$398.11

Where Rhode Island 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.

Rhode Island· 23rd of 51

$316

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.