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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 July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$257

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $245 to $257.

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.

How much rates vary

Professionalmedian $257 · 10th to 90th $234 to $363
$200.0$500.0$1.0Kprofessional $257

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
$229.09
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$446.68
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$194.98
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$478.63
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$338.84
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$389.05
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$204.17
Typical High
$288.40

Where Rhode Island 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.

Rhode Island $257 · 24th 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.