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Nuclear Scan For Damaged Heart Muscle

South Carolina 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?

$257

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $1,072 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$191 to $309
FacilityA hospital or hospital-owned outpatient department$1,072$724 to $1,698

How much rates vary

Facilitymedian $1,072 · 10th to 90th $479 to $1,995Professionalmedian $251 · 10th to 90th $66 to $372
$50$100$200$500$1K$2Kfacility $1,072professional $251

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$38.90
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$144.54
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,023.29
Typical High
$1,995.26
BCBS South Carolina
Setting
Facility
Modifier
TC · Technical part
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
BCBS South Carolina
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$251.19
Typical High
$389.05
BCBS South Carolina
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$66.07
Typical High
$97.72
BCBS South Carolina
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$186.21
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$295.12
Typical High
$512.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$61.66
Typical High
$109.65
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$234.42
Typical High
$398.11
Medcost
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$549.54
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$338.84
Typical High
$389.05
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$56.23
Median
$239.88
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$3,630.78
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$263.03
Typical High
$436.52
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$208.93
Typical High
$346.74
3 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
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$33.88
Typical High
$36.31
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$134.90
Median
$134.90
Typical High
$147.91

Where South Carolina 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.

South Carolina· 36th of 51

$257

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.